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REGISTRATION FORM
IMPORTANT NOTICE.
Registration for In-person Participation is Closed, however Virtual is still opened.
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Full Name
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Email
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Phone number
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Are you an Individual or an Organization?
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If Organization, kindly specify Organization name
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I understand that I will have to pay GHC 200.00 or $50.00 I to complete my registration.
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Kindly choose your mode of participation
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PAYMENT DETAILS HERE
0541413871 (MISSION CLINIC LIMITED). Reference :
Autism
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