HERITAGE CARAVAN 2020 - REGISTRATION FORM
Trip Duration: March 1 to 7, 2020
Trip Coverage: About 13 Regions
Phone Number: 0205973973 Email: promo@omnimediagh.com
Full Name *
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Date of Birth
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Preferred Name for TAG *
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Gender *
T-Shirt Size *
Email *
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Profession *
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Address (Home) *
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Personal Mobile Number(s) *
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Emergency Contact Number(s) *
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Registration Fees: All fees (listed in GHS) include transportation, accommodation (Bed+Breakfast+Dinner), entrance fees for tour sites and special activities. Please check the appropriate registration fee. NB: Fees will be refunded less 20% of the registration fee, if cancellation or change resulting in a refund is received in writing no later than February 15, 2020. All refunds will be processed after the tour. After February 15, fees are non-refundable. Substitutions are allowed at no charge. *
Payment Method: Payment/registration confirmation/receipt and further information will be required upon submission of forms. *
I understand that I will have to pay the above-mentioned fee before February 15, 2020, to make me eligible to go on the Heritage Caravan *
Required
Payment Details
Bank: Ecobank
Branch: Head Office
Account Name: Omni Media Company Limited
Account No: 0010014402488101
Swift Code: ECOCGHAC

Mobile Money Number: 0550900006
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