Full Name*First NameLast NameE-mail*Phone Number*Area CodePhone NumberAdultsChildrenLocationLagosAbujaPort HarcourtIbadanI want to sponsor$50 USD$75 USD$100 USDTotal Charge$0.00 USDPayment MethodCredit Card Paypal Other Credit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2018201920202021202220232024202520262027Expiration YearPaypal has been selected. Payment will take place on the next page.Comments? Questions?Add to mailing listSubmitShould be Empty: This page uses TLS encryption to keep your data secure.
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