Apply

UZA Membership Form
(member fees are payable annually)

step 1		Choose a payment options & submit your membership fee with Ecocash or Bank deposit or Online card
step 2		Take note of your payment transaction ID or reference #
step 3		Complete the UZA membership form below

Want to know more before you sign up? CLICK HERE

First Name *

Last Name *

Email *

Password *

Choose your membership rate *

Enter the reference # for your membership fee *

Which Wing of the Party will you support? *

I'm not a member of any other political party *

I will abide by the UZA Constitution *

I am a Zimbabwean citizen, over 16 years old *

Date of Birth *

Zimbabwe National ID Number

Select the Province you wish to support *

What is your Constituency?

What is your phone number *

Do you have any special title or credentials?

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