THE DIGNITY CAMPAIGN International Facilitator Training Application
Thank you for your interest in becoming a Dignity Facilitator. Please note that a non-refundable deposit of R300 is required for all applications.

Account name: Dignity Campaign
Bank: Standard Bank
Branch: Blue Route
Account number: 072024135
Branch Code: 025609
Electronic payment code: 051001
Reference: DGC+your surname+date of training

21-27 October, 2019 // Noordhoek, Cape Town, South Africa
First Name: *
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Surname *
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Gender *
Age *
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Organization/Church *
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Cell *
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Email *
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Area in which you work (Address) *
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What kind of ministry/service does your church/organization offer women?
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Special Dietary requirements? *
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Please note that all participants are required to pay a non-refundable registration deposit of R300. Please send proof of payment to to secure your application. *
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