Join the Zimbabwe Information Center

To return to the ZIC Membership page please click here.

Zimbabwe Information Centre Inc Membership Form

I / my organisation support the objectives of the Zimbabwe Information Centre Inc, and wish to join.
Name: ................................................................................................................................................
Organisation: ....................................................................................................................................
Address:.............................................................................................................................................
................................................... P/code ...........................................................................................
Phone: (work) ....................................................................................................................................
(home) ................................................................................................................................................
(mobile) ..............................................................................................................................................
Fax: ...................................................................................................................................................
Email: ...............................................................................................................................................

Fees: Please tick appropriate box

Individual:

Employed $20.00
Social Security benefits $5.00

Organisation:

Small $50.00
Large $100.00

Payment

Please debit my:
Bankcard Mastercard Visa Amex (Amex ID No ____ )
Card No: ________ \ ________ \ ________ \ ________ Expiry Date: ___ / ____
Signature: ________________________________________ Date: ___/___/___

OR Make cheques payable to: Zimbabwe Information Centre Inc.

Please return this form by fax (02) 9211 1407
or post to ZIC PO Box K824 Haymarket NSW 1240.
If you have any questions please call the ZIC on (02) 9211 4164.
To return to the ZIC Membership page please click here.