Personal Information (Please complete whether you are an individual member or an organisational representative.)
Please update your personal information.
Fields with a red * are required information.
If you are not the organisation's official representative, or if communication should also be sent to an alternate contact person, please add details of the correct contact person
By submitting this information:
- I (as individual)/We (as organisation) recognise the WWSOSA values, endorse the positions set out in the membership document & commit to play an active role in the coalition.
- I (as individual)/We (as organisation) hereby acknowledge and accept that in the event of being recorded in any way by WWSOSA, I/We:
- Allow WWSOSA to use the photograph/film/audio recording/interview at its discretion;
- Do not hold any rights to it and accept that I/We will receive no remuneration for the photograph/film/recording/interview as taken by WWSOSA, nor will I have editing rights over it.
Tel. +27 (0)724537502
or (0)84 581 0622
11 Diakonia Centre,
20 Diakonia Avenue,
Copyright © 2020,
Adapted from a Zymphonies theme by Jan