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Once you have completed the form, you will be directed to secured online payment page.


First Name

Last Name

Email Address

Tel No.




Home Address

Home City

Home State

Home Country

State of Origin

How did you hear about WINPOL:

If you are 25 years or under, you can receive youth-oriented information, and participate in our growing campus chapters.
Are you publicly active for a particular political party?

What activities do you think you might get personally involved in? (Organizing meetings, speaking publicly, advocacy, research, mentoring, reaching out to younger women, etc...)

Platinum membership ₦20,000.00
Gold membership ₦10,000.00
Silver membership ₦5,000.00
Classic membership ₦2,000.00