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PAYMENT DETAILS :                                                 Please Tick as Applicable Membership Fee OUR BANK AND ACCOUNT NUMBERS Click Here Annual Subscription $200 Refundable Fee   $100 Airport Pick   Resort Exchange         PERSONAL DETAILS Name Select One Mr. Mrs. Chief Dr. Engr. Excellence Honorable Royal Highness Barr. Membership Number Lodgements Select One Cash Cheque Transfer Bank Name Select One ACCESS ZENITH GTBANK PLC STANBIC IBTC ECOBANK PLC Cheque/Teller No. Amount Paid Amount in words         enter comments here

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Office Address HEMINGWAY'S SAFARIS AFRICA LIMITED Lagos Chambers of Commerce and Industry Exhibition and conference hall centre Plot 10A Dr. Nurudeen Olowopopo Drv Alausa Secretariat, Ikeja, Lagos Tel: +234 -01- 8102-904, 8102-903 01 - 7347 - 678, 01 - 9500 - 063

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