ALIVE Kenya 2024 Membership Form

Please take time to register your interest with ALIVE Kenya. An annual registration fee of Ksh.300 is to be paid via ALIVE Paybill :4040207 Account: 2024REG, after which you can submit the form.We shall contact you once you have completed your registration. Member registration for this year ends on 6th April 2024.
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Untitled Title
Surname: *
Personal Details:
First Name: 
Last Name: 
Gender: *
Church Membership:  
Occupation: *
Telephone number

Email.  *
Next of Kin Contact
Relationship:  *
Name:  *
Telephone Number. *
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