1BA Go Empower Schools Project 2016 - Akyeremateng LA; Kotobabi Presby Basic; Kuntunse MA

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Thank you for considering to participate in the 1BA Go Empower Schools Project 2016. The project seeks to empower children and youth in these deprived schools to help create access to quality education, to inspire problem-solving thinking and to promote gender equality. Kindly complete this registration form to Join/Support the project. Date: 29th April, 2016

Surname

First Name

Telephone number *

Kindly include country code (for e.g. 233 XXX XXX XXX)

Alternate Telephone number (if any)

Kindly include country code (for e.g. 233 XXX XXX XXX)

Email Address *

Please provide an email, we can readily reach you on.

How would you like to Support this project to impact the children at Kotobabi Presby. *

**1 GH¢ = 0.26 USD**

1BA Platinum: Join 1BA team for the project. Donate at least GH¢ 500 (this covers Stationery for students, transport, meal and certificate from 1BA, Get a personal thank you video from a student, Special name mentions on Blogs and Social Media, 2 1BA T-shirts)

1BA Diamond: Join 1BA team for the Project. Donate at least GH¢ 200 (this covers stationery for the students, transport, meal, certificate and 1BA T-shirt)

1BA Gold: Join 1BA team for the Project. Donate at least GH¢ 100 (this covers Stationery for students, transport, meal and certificate from 1BA)

1BA Silver: Support with Cash (Donate at least GH¢ 50) to purchase Stationery for the students

Other Support (Any amount below GH¢50 to support the project )

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