NIGERIAN YOUTH CONMPACT ON COVID-19
ORGANIZATION MEMBERSHIP FORM
Email address *
Name of Organization *
Contact Person *
Designation *
Email of Contact Person *
Phone No of Contact Person *
Alternate Contact Person
Designation
Email
Phone Number
Physical Address *
Postal Address *
Telephone *
Fax
Email *
Website
Do your Organization have branch office(s) *
If 'YES' How many branch office(s) *
Type of Organization (please tick) *
Any Form of Registration (if yes) provide details.
Scope of Organization's Activities (please tick) *
Required
Mission of Organization
Target Audience *
Source(s) of Funding (please list) *
Does your Organization subscribe to the Mission of NYC COVID-19? *
Submit
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