Registration

Become a member

Membership begins on the day your completed form is received and your joining fee is paid. Your details are used only for the purposes of the association.

About you

First nameLast nameDate of birthPhoneEmailCountry of residence

Home address

Town / cityPostcode / Eircode

Next of kin

Full nameRelationshipPhone

Nominees (spouse and children only)

Each nominee's date of birth is required. A nominee may only appear on one member's form. Leave blank rows empty.

Nominee 1 full nameRelationshipDate of birthAddress (if different)

Nominee 2 full nameRelationshipDate of birthAddress (if different)

Declaration and consentI confirm I am Zimbabwean by birth or descent, aged 16 or over, and ordinarily resident in Northern Ireland or the Republic of Ireland.I have read the constitution and agree to pay the joining fee, the annual fee, and a minimum of £50 within 72 hours of each death notice.I consent to the association holding my details and my nominees' details for the purposes of the association only (UK GDPR).

The Secretary will email your membership number and bank details.