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 *
Email Address
Contact Number
Home City or Town
Languages
Wikipedia/Wikimedia Username *
Which mailing lists would your like to subscribe to?
How would you like to receive your contribution certificate?
Your contribution is tax deductible.
Clear selection
Postal Address
Are you interested in volunteering?
If so, please tell us more about your field of expertise.
Membership Contribution
Clear selection
Amount
How much can you contribute - in South African Rand (ZAR)
Payment Method
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Wish.org.za. Report Abuse