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First Name

Last Name

Email Address

Tel No.

Occupation

Age

 

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