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Nigerian Business Coalition Against AIDS
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NIBUCAA's Membership Form!
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Please fill out our membership form; Fields marked with (
*
) are required.
Name Of Organisation :
*
Physical Address :
*
Type of Business:
*
Categories for
type of bisiness
, please choose one
*
Category A:
Large multinational companies
-N 700,000: Turnover >1 billion
Category B:
Medium-sized enterprises
-N350,000: Turnover 500 million to 1 billion naira
Category C:
Small Enterprises
-N70,000: Turnover < 500 million
Category D:
Choose this option if your company did not fall within any of the above categories.
Name of CEO:
*
Email:
Telephone:
Contact person:
*
Designation:
*
Department:
*
Telephone Number(s):
*
Fax Number:
Email Address:
*
Organisation's website:
*
Date of Application:
*
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