2015 WAM CONFERENCE
Warri, Nigeria 21st - 23rd August 2015
SURNAME *
STATUS *
CHURCH/REGION *
GENDER *
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
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.
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