Register

Please Note:


If you payment choice is Cheque or Cash please fill "FORM 2". Do Not fill "FORM 1".
Please bring cash or cheque to the Venue of the event.
Bank Details:
Bank:
ACC Name:
ACC NO:
AMOUNT: ₦25,000

  If your choice of payment is going to be Online Payment or Electronic Transfer read this info:

Please fill "FORM 1" with the necessary required information

  • You will be redirected to a Payment Gateway to make payments for services.

  • Please note and copy down your Transaction ID/Reference Number e.g "0519123450082015"

The Transaction ID/Reference Number  will be required to fill "FORM 2" below. i.e the field coloured red.

NOTE: None of your payment detail will be collected or saved my us. It will be processed by the Payment Gateway/Bank so all sensitive information is completely safe and secure. Thank you

FORM 2

Title

Full Name

Gender
 Male Female Other

E-Mail

Phone Number

Organisation/Affiliation Name (if any)

Contact Address

State/LGA

Are you a sponsored delegate?

If Yes, fill fields below

Mode Of Payment
 Cash Cheque Electronic Transfer Online Payment

If Mode of Payment is Cheque/Electronic Transfer/Online Payment

FORM 1