Summit Registration Form

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

(One form for each delegate)

General Information

Prefix

First Name *

Middle Name

Last Name *

Date of Birth *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country *

Email Address *

Mobile Phone

Alternative Phone Number

Summit Ticket

Payment Conditions

The enrolment becomes legally binding once UGW has: Sent written confirmation of acceptance and received corresponding payment.

The following payment methods are accepted:

UMOJA GENERATIONAL WEALTH

SORT CODE

ACCOUT NUMBER

SWIFT CODE

IBAN

REFERENCE

WISE

56 Shoreditch High Street London E1 6JJ United Kingdon

23-14-70

50824346

TRWIGB2L

GB04 TRWI 2314 7050 8243 46

UGW/Summit25

Bank wire transfer – Please make payment into the following bank account, payable to: Umoja Generational Wealth. Use the following reference: UGW/Summit25.

Credit/Debit Card (MasterCard, Visa, American Express) by following the instructions shown on the application form.

PayPal by following the instructions on Paypal.com. Payable to: Umoja Generational Wealth Reference: UGW/Summit24

Emergency Contact 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

If yes, please state your requirement:

Extra Program for Business Symposium

Business Symposium - €200

Island Tour - £POA (link to contact us)

Flying Fish Tour - £POA (link to contact us)

Visit to 1st Slave Hub - £POA (link to contact us)

VIP Tour - £POA (link to contact us)

I accept the terms and conditionsAccept

Summit Registration Form

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

Partners and Sponsors