The Ganglion scholarship donor's contact information

Thank you for your interest in making a change. This form is to enable us get your contact information so we can  inform you of all our activities as an organisation. We will be sending quarterly news letter about our progress with the scholarship
Name *
Email *
Address *
Phone number *
Financial commitment e.g. Thirty thousand naira (one time payment) or Two thousand five hundred naira (monthly payment) *
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