Vernacular Architecture Society of South Africa
MEMBERSHIP QUESTIONNAIRE (2004)

Please either print out this form, complete it and post it to The Treasurer, VASSA, PO Box 15347, Vlaeberg, 8018; or save it on your computer, complete it and email it back to Membership@vassa.org.za

Surname(s)

First Name(s)

Address

Postal Code

Category: (Single or Family)

Tel Home
Fax
Tel: Work
Cell
Email

Skills questionnaire (detail where appropriate)

Occupation:
(Current/former)
Resource Skills
Member1
Member2

Computing

Librarian

Research

Cataloguing

Archiving

Literary Skills

Writing

Editing

Proof reading

Illustrating

Recording Skills

Drawing

Video

Photography

Networking

Media contacts

Affiliations (other groups)

Other (detail)