JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Wikimedia ZA Membership
This is the sign-up form to become a member of Wikimedia South Africa.
You will receive an e-mail as soon as we process your information.
All fields are optional.
Sign in to Google
to save your progress.
Learn more
Name or Organization and contact person
Your answer
Email Address
Your answer
Contact Number
Your answer
Home City or Town
Your answer
Languages
isiZulu
isiXhosa
Afrikaans
English
Sesotho sa Leboa
Tswana
Sesotho
Xitsonga
siSwati
Tshivenda
isiNdebele
Other
Wikipedia/Wikimedia Username
Your answer
Which mailing lists would your like to subscribe to?
Discussion
Event Notifications
Newsletters
Annual Reports
How would you like to receive your contribution certificate?
Your contribution is tax deductible.
Email
Post
Clear selection
Postal Address
Your answer
Are you interested in volunteering?
If so, please tell us more about your field of expertise.
Your answer
Membership Contribution
Monthly
Annually
Once-off Donation Only
Clear selection
Amount
How much can you contribute - in South African Rand (ZAR)
Your answer
Payment Method
Debit Order
Credit Card / Debit Card
Cryptocurrency
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Wish.org.za.
Report Abuse
Forms
