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THE DIGNITY CAMPAIGN Dignity Facilitator Training Application
Thank you for your interest in becoming a Dignity Facilitator. Please note that a non-refundable deposit of R300 is required for all applications.

Account name: Dignity Campaign
Bank: Standard Bank
Branch: Blue Route
Account number: 072024135
Branch Code: 025609
Electronic payment code: 051001
Reference: DGC+your surname+date of training

9-11 May, 2019 // Cape Town, South Africa
South Riding Baptist Church: Aylesbury Road, Ottery 7780
First Name: *
Your answer
Surname *
Your answer
Gender *
Age *
Your answer
Your answer
Organization/Church *
Your answer
Cell *
Your answer
Email *
Your answer
Area in which you work (Address) *
Your answer
What kind of ministry/service does your church/organization offer women?
Your answer
Special Dietary requirements? *
Your answer
Please note that this will be a day training and accommodation is not part of the total cost. Please organize alternative accommodation if you are coming from outside Cape Town. Also note that all participants are required to pay a non-refundable registration deposit of R300. Please send proof of payment to to secure your application. *
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