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e-Registration Form

• Event: Saturday, November 12, 2016, 7:00am Registration, Walk Begins 7.30am. Location for Walk - Lekki • Registration Fee: N7,500 per person; Corporate N200,000 for 5, N300,000 for 10**Includes Polo Shirt and other goodies! Please fill out this registration form and the separate waiver form for each person walking in the event.

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Payment Methods / Account Details: Account Name: Chinwe Bode-Akinwande Foundation Bank: Diamond Bank Account Number: 0061231442

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