IFU MEMBERSHIP SUBSCRIPTION 2021/2022

Name *

First

Last

Name of Company/Institution/organization

Physical Address *

Email *

Phone *

(Tick the circle as appropriate)

Personal *

Personal Others (Ugx) *

Enter the amount

Family *

Family Others (Ugx) *

Enter the amount

Institutional *

Institutional Others (Ugx) *

Enter the amount

Commitment *

I commit to pay (Personal/Family/Institutional) Annual membership subscription to Intercessors for Uganda for the year 2021/2022

Payment Date *

Commit to pay by which date?

P. O. Box 3280, Kampala, Uganda

(+256) 070 101 7790

(+256) 078 901 7790

First Name *

Email *