Join Us – Shukumisa

Name of organisation/individual

NPO number (if organisation)

Representative name (if organisation)

Representative position (if organisation)

Province

Physical Address

Telephone Number

Cell Number

Your Email Address

Main activities of the organisation OR individual interests and expertise

Please prove your interest/experience relating to sexual violence. What have you done to fight sexual violence?

The Shukumisa Coalition works through its members. What can you bring or contribute to Shukumisa?