Membership Application

Print out this form and send to address at bottom

ZANOBA Logo long

Membership Application

Name:
Address:
Address Line 2:
City:
State/Province (if applicable):
Country:
Chief:
Date of Birth: – –
Sex: Male Female
I am a permanent resident of Zambia:
I am a citizen of:
Occupation:
I belong to a ZANOBA branch:
Highest level of education completed:

Choose ONLY one Documentation and Validation
Team below in which you are most interested:
Documentation, Validation, Consultancy, and Advisory Team
Publications, Media, and Journal of Zambian Culture and Technology Team
Medicine, Health, Hygiene and Healing Team
Music, Dance, Theater, and the Arts Team
Education, Youth, Games, and Sports Team
Agriculture, Food, and Nutrition, Business and Economics Team
Religion, Language, Mythology, and Folktales Team
Family, Marriage, Kinship, and Genealogy Team
History, Politics, Libraries, Archives, Museums, and Artifacts Collection Team
Housing, Bridges, and Construction Team
Natural Resources, Innovation, Science and Technology Team
Membership Fee 20 US dollars (for cost of Newsletter for a year).
Make Check Payable to: ZANOBA. Print out this form and mail it with a check to:Dr. Mwizenge S. Tembo
President; ZANOBA International
Bridgewater College
Bridgewater, VIRGINIA 22812 USA

OR

Mr. Boyd Muyanga
Publicity Secretary;
Zambia Knowledge Bank International
P.O. Box 530363, LUSAKA, ZAMBIA

SIGNATURE OF APPLICANT:_____________________
DATE:_________________