Membership form

Please complete this form to become a member of Wafrica.

Your completed form will be sent to the Wafrica committee. We will get back to you by email shortly with information about membership fees and payment options.

We thank you for your interest in Wafrica.

Surname *

Enter your surname or family name.

First name *

Enter your first name.

Address

Enter your address (optional)

Phone

Enter your phone number

Mobile

Enter your mobile phone number

Email *

Enter your email address

Any comments

Comments for the attention of the Wafrica committee

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

What code is in the image? *

Enter the characters shown in the image.

You are here