IPPAM - Membership Application Form

APPLICATION FORM

Before completing the membership application form, please review the privileges and benefits as well as the eligibility requirements and conditions for the various membership categories.

Title

Membership category

Name

Email*

Phone*

Address*

Why do you wish to join IPPAM?*

Fields of knowledge and areas of expertise (need 3)

One

Two

Three

Email a copy of your curriculum vitae to IPPAM using the following email: membership@ippam.org

How did you hear about us?

Areas of personal interest (list all)

What changes in the world would you like to see, and more specifically, how you would like to see them attained?

Locally (Town/State)

Regionally

Country

Award, honors, accolades received

Are you willing to set up a local, regional, industry, or specific niche think tank?

Please list anything else we should consider

Corporate Address

Plot 136
Adetokunmbo Ademola Crescent
Wuse 2, F.C.T. Abuja
Nigeria

Contacts

Email: info@ippam.org
Phone: +234 (0) 803 566 3820

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MEMBERSHIP APPLICATION FORM

APPLICATION FORM

Before completing the membership application form, please review the privileges and benefits as well as the eligibility requirements and conditions for the various membership categories.