Azima Wellness Club Registration
All information provided on this form will be treated with confidentiality.
Email address *
Make Payment for registration
1. Go to MPesa
2. Select Lipa na M-PESA
3. Select Buy Goods and Services
4. Enter Till No- 608712
5. Enter Amount : 1000
6. Enter you M-PESA Pin.
7. Confirm payment
8. Forward your confirmation message to Admin on 0704 561 095
Have you forwarded your message to admin on 0704 561 095 *
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