Centre for Empowerment of the Disabled
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Helping to make a positive Impact
in the lives of the less privileged

Membership Form

 
 
Fill the form below and we will get back to you shortly , or contact us at member@disabledcentre.org
 
First Name: *
Last Name: *
Office Address: *
Home Address: *
Postal Address:
Phone: *
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Type of Membership
Monthly aid to the centre:  Currency  
 
Bank Account Details
Account Name: Centre for the empowerment of the disabled
Bank: Oceanic Bank PLC, Apata Street Shomolu, Lagos
Account Number: 1201005934
 
 
   
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