BREAKitDOWN SUMMIT REGISTRATION

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

BiD Summit is aimed at educating you through teachings, engaging discussions, questions and answers with prominent guests coming from diverse walk of life and experiences on relevant inspirational/motivational topics targeted at empowerment of your mind, how to deal with the challenges of life and become solutions to societal problems
DATE: August 19th, 2017
TIME: 09:00am (Accreditation/Registration, Red Carpet, Main Event)
LOCATION: Wetland Event Center, Sapele, Nigeria
CONTACT US: 07062217621 or 07030413987 or 09097875899
breakitdowntalkshow@gmail.com ; www.facebook.com/breakitdowninitiativeplatform

Name *

Sex

Female

Male

Clear selection

Phone Number *

Occupation *

STUDENT

NYSC

CIVIL SERVANT

ENTREPRENEUR

Other:

What would you be most interested in at the Summit? Tick as many as are relevant to you: *

Network with other participants and guest speakers to create avenues for possible collaborations.

Getting access to personalized coaching/mentorship opportunities from some of the guest speakers

Getting support to acquire entrepreneurial skills (bead making, tailoring, computer engineering, Photography, etc)

Be inspired to be purpose driven

Obtain a Certificate of Participation

Other:

Required

I understand that I will have to pay one of the following fees to complete my Registration *

N500 as student

N1000 as worker

I need a sponsor

I can sponsor someone

REGISTRATION/PAYMENT INFORMATION

Pay into any of these Bank Accounts:
ACCOUNT NAME: Rural Development and Reformation Foundation
GT BANK - 0226817773
ZENITH BANK - 1014790079
.
AFTER PAYMENT,
text your "FULL NAMES, CITY, AMOUNT PAID, BID SUMMIT" to 07030413987.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms