Kindly fill in the form below to register for the January 2018 Impact Retreat.

Kindly fill in your first name.
Kindly Enter Your Surname
Kindly Enter The Name of Your Ministry
Kindly Enter Your Ministry Address
Kindly Enter Your Phone Number
Kindly indicate your interest for a shared hotel accommodation

NOTE: Shared hotel room for two(2) persons cost N7,500 per person for three(3) days.

Kindly indicate if you need a free hostel accommodation