ALIVE Kenya 2024 Membership Form

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Please take time to register your interest with ALIVE Kenya. An annual registration fee of Ksh.300 is to be paid via ALIVE Paybill :4040207 Account: 2024REG, after which you can submit the form.We shall contact you once you have completed your registration. Member registration for this year ends on 6th April 2024.

Untitled Title

Surname: *

Personal Details:

First Name:

Last Name:

Gender: *

Female

Church Membership:

Occupation: *

Telephone number

Email. *

Next of Kin Contact

Relationship: *

Name: *

Telephone Number. *

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