The Port Harcourt Link Club Membership Form
Join the Port Harcourt Link Club and contribute your quota to the advancement of humanity.
Email address *
Do you wish to become a member of the Club? *
First Name? *
Surname? *
Sex? *
State of Origin? *
What is your age bracket? *
Required
Email? *
Phone Number? *
Facebook Username?
Twitter Handle?
Qualification? *
Do you belong to any other social organization, club or society? *
If yes to the above, state the club, the position you hold and the objectives of the other club(s)
What is your religious status? *
What is the nature of the institution you work? *
How best can you promote the activities of the Club in your area? *
Required
How did you get to know about The Port Harcourt Link Club? *
Required
State of Residence? *
Message?
Submit
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