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Kindly fill the form below and send to us via mail to join our network. All information is required
To become a partner or member you need to donate or register with (US$30), In Ghana (Gh80 cedis), Nigeria (N6,000) ONLY per account.

E-mail: melisfonteamkelly@gmail.com

FIRST NAME

LAST NAME

EMAIL

PHONE 

ADDRESS

DATE OF BIRTH

NEXT OF KIN

NEXT OF KIN RELATIONSHIP

PREFERRED USERNAME

BANK NAME

ACCOUNT NAME

ACCOUNT  NUMBER

ACCOUNT TYPE


We would contact you through the same mail you sent with...