Oromo Community Member Registration Form

Your name

Your email

Subject

Your message (optional)

Date of Birth:

Gender:
MaleFemaleOther

Address:

City/Suburb:
Postcode:

Phone Number:

Membership Type:
Individual MemberFamily MembershipOrganization Membership

Preferred Communication Method

EmailPhoneSMS

Membership Agreement

I,, confirm that the information provided is correct, and I agree to abide by the rules and regulations of the organization.

Signature:

Date: