INDIVIDUAL PLAN

This membership is opened to natural persons who are interested in the use of digital health technology as a means of advancing healthcare in Nigeria.

Please enable JavaScript in your browser to complete this form.

Title

• Mr
• Mrs
• Dr

Names *

First

Last

Email *

Address

Phone Number *

Individual Plan

• INDIVIDUAL MEMBERSHIP ( ₦ 50,000)

Sex

• Male
• Female

Position

Organization (IF ANY)

Website

Your Product/Services

What is your focus?

How may we be of support to you?

I agree to the following payment *

• Subscription Fee ( ₦ 50,000)

Submit