Individual Membership Form Individual Membership Form Name * Name First Name First Name Last Name Last Name Email * Address * Phone * Why do you want to become a GEN VIC member? * Do you consent to GEN VIC using your answer to the above question in our marketing and communications? * Yes Yes, but only if I am anonymous No GEN VIC members proudly promote gender equity and support our shared vision for an equitable society where people of all genders can thrive. How do you advance these values? * Do you agree to the rights and responsibilities outlined in the GEN VIC Membership Policy? Read it here (copy and paste this link into your browser search bar): tinyurl.com/3nx25znf * Yes No What type of membership are you applying for? * General Concession Submit If you are human, leave this field blank.
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