2015 WAM CONFERENCE

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

2015 WAM CONFERENCE

Warri, Nigeria 21st - 23rd August 2015

SURNAME *

STATUS *

SINGLE

MARRIED

CHURCH/REGION *

GENDER *

MALE

FEMALE

EMAIL *

OTHER NAMES *

CHURCH/REGIONAL LEADER *

MOBILE PHONE *

e.g +234 813 740 4537

If filling this form on a mobile device, switch-on landscape view or simply swipe the "Accommodation options" to the left to see other options

ACCOMMODATION OPTIONS

WELLINGTON HOTEL - - N29,288 PER PERSON

PTI GUEST HOUSE [EXECUTIVE SUITE] - - N21,000 PER PERSON

PTI GUEST HOUSE [DOUBLE ROOM] - - N18,000 PER PERSON

PTI GUEST HOUSE [SINGLE DELUX] - - N12,000 PER PERSON

Any option is either couple or 2 people in a room. REGISTRATION FEE IS ALSO COVERED

Clear selection

I WILL MAKE PERSONAL ARRAINGEMENTS FOR ACCOMMODATION

YOU ARE STILL REQUIRED TO PAY THE CONFERENCE REGISTRATION FEE OF N6,000

ALL PAYMENTS ARE TO BE MADE INTO THE ACCOUNT DETAILS

Account Name: International Church of Christ
Bank Name: Zenith Bank PLC
Account Number: 1014070036

HAVE YOU MADE ANY PAYMNETS?

For Registration or Accommodation

YES

Clear selection

IF YES, STATE PURPOSE OF PAYMENT AND AMOUNT PAYED

For Registration or Accommodation

DO YOU HAVE ANY ALEGIES OR MEDICAL CONDITION?

(If yes please be specific)

Please note: Feeding is N600 per meal and every participant is expected to buy their food from the approved food vendors
for the conference.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy