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ZACRAS Membership Application Form

Name of Community Radio Station*
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Town/City/Community*
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Year of Estabishment*
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Type of Community Radio*
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Please tick where applicable

Is your community radio station registered? *
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Which of the following documents does your Community Radio have?*
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Please tick where applicable

Address *
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Tel/Cell Number*
enter only numbers

Email Address*
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Contact Person*
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