Registration TitleName *Phone *Email Address *Gender *M/FMaleFemaleAge Range *AgeLess than 20years20 - 29years30 - 39years40 - 49years50 - 59years60years and AboveChurch/ Organisation *Street Address *CityState/ProvinceWhich best describes your organization's affiliationChurchMission AgencyChristian Organisation/ NGOProfesional/ Service ProviderOtherRole/ DesignationDo you or your church/ organisation have an ongoing urban or diaspora engagement effort?YesNoIf YES, please tell us moreIf you have any file that supports this, kindly upload hereDrag and Drop (or) Choose FilesWill you be attending the Clergy Luncheon *A special highlight will be the Clergy Luncheon – A special evening gathering for church and leaders hosted by NEMA Lagos. June 19 | Time: 3:00 PMY/NYesNoAre you coming from outside Lagos, and will be needing accommodation?We are able to recommend a guest house for you. You will responsible for the full cost.YesNoComment/ QuestionSubmitSave as Draft
