Summit Registration Form

General Information

Please book for the UBUNTU AWAKENING SUMMIT by filling the form below.

(One form for each delegate)

First Name *

Middle Name

Last Name *

Country of residence *

Nationality *

Date of birth

Email Address *

Mobile no. *

Alternative number *

Summit Ticket

Payment Conditions

Your enrolment becomes legally binding once Umoja Generational Wealth (UGW) has:

Sent written confirmation of acceptance, and Received your corresponding payment.

Accepted Payment Methods

1. Bank Wire Transfer
Please make payment into the following account, payable to: Umoja Generational Wealth
Use the reference: UGW/Summit24

Bank Details:

Bank Name: Wise

Address: 56 Shoreditch High Street, London, E1 6JJ, United Kingdom

Sort Code: 23-14-70

Account Number: 50824346

SWIFT/BIC: TRWIGB2L

IBAN: GB04 TRWI 2314 7050 8243 46

Reference: UGW/Summit24

2. Credit/Debit Card
We accept MasterCard, Visa, and American Express. Follow the instructions provided on the application form.

3. PayPal
Make payment to: Umoja Generational Wealth
Use the reference: UGW/Summit24
Follow the steps on PayPal.com.

Emergency Information

First Name *

Last Name *

Relationship *

Phone Number *

Alt. Phone Number *

Other important Information

Any Dietary Restrictions or Allergies, chronic illness, or medical conditions? If yes, please describe. *

Do you have any disability?YesNo

Please state your requirement:

Extra Program for Business Symposium

Business Symposium - €200
Island Tour - £POA
Flying Fish Tour - £POA
Visit to 1st Slave Hub - £POA
VIP Tour - £POA

Please do not fill in this field.