JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
IMPACT Sponsor Registration
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
Your answer
Surname
*
Your answer
WhatsApp Phone Number
*
Your answer
Email Address
Your answer
Which category are you interested in joining? For category details and benefits, visit
https://actionchapel.net/impact-sponsors/
or whatsapp 059 230 0069
*
Diamond - $5000 or higher
Platinum - $4000 or higher
Ruby - $3000 or higher
Gold - $2000 or higher
Silver - $1000 or higher
Required
How would you like to process your sponsorship contribution? Please note that we must be able to verify your sponsorship level in order to fulfil your package.
*
Check made payable to Action Chapel International
Bank Transfer
Cash Deposit into bank account
Paid to the Archbishop
Paid to Dagmar Engmann
Paid to Bishop Obodai
Paid into the Church Momo Account
Required
When would you be submitting your contribution?
*
MM
/
DD
/
YYYY
Thank you for your time, we'll be in touch shortly. For any questions or concerns whatsapp 059 230 0069.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of actionchapel.net.
Report Abuse
Forms
