MULTIPLY CHRISTIAN NETWORK

Name: ………………………………………………………….

Position in Church:……………………………………..............

Church/ Fellowship:……………………………………………..

Address: ………………………………………………………….

…………………………………………………………………….

……………………………………………………………………..

Date:………………………………………………………………..

Email:……………………………………………………………….

Telephone number:………………………………………………….

Fax number:………………………………………………………….

Are you a member of Multiply Network?  Yes…… No…..

Indicate the country or state you came from:…………………………

If you are not a member, will you like to become a member? Yes ….. No…..

Please fill and return this form to: Multiply Nigeria Network National Office,

                                                       12, Balogun Ladega Street,

                                                       Akinogun- Ipaja,

                                                       Lagos- Nigeria.

Tel: 234-1-8731058                                                            Email: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

       234-1-8147600                                                                  This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

       234-8023160134                                                     website: www. Multiplynigeria.org

       234-8063674787