Please complete the form below carefully.
[radio* registration-volume use_label_element default:1 "1–4 Registration" "5–9 Group Registration" "10 and Above Group Registration"]
Please provide the details of the individual or club representative making this payment.
Full Name of Payer *
Email Address *
Phone Number *
Number of Persons Paid For *
Name of Club *
District *
Account Name From Which Payment Was Made *
Name of Bank Through Which Payment Was Made *
Amount Paid (₦) *
Date Payment Was Made *
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