IMPACT ACADEMY Registration form
To be filled by participants  attending IMPACT ACADEMY PROGRAM.

WHY IMPACT ACADEMY -Impact academy is a platform that provides participants with the knowledge they need to succeed in life, marriage and business.

Life and marriage are serious business. Life and marriage could be sweet with the right knowledge or bitter, because of ignorance .

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1. Name *
1A. GENDER *
1B. WHATS APP PHONE NO  *
1C. PLS SELECT THE CLASS YOU WISH TO ATTEND    *
2. SELECT ONE  *
3. Kindly select the Program you are interested in? *
4. State of residence e.g Abuja *
5. Kindly let us know your expectations that you want the Program to Address? *
6. Why did you want to attend the program? *
7. Select any four (4) areas you also want the workshop to cover? *
Required
8.  HAVE YOU MADE PAYMENT ? PAY INTO LEAD IMPACT ,GTB, 0024345421 . THANK YOU *
Thank you. We look forward to seeing you at the Program. We believe you will have an impactful learning experience.


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