Booking & Reservation Form

MOLE XXXVI

Booking Instructions

PAYMENT DETAILS

Fill the form and copy your REF ID:
Make payment into CONIWAS account using the following account details: USE REF ID: part of your payment

Name: Ghana Coalition of NGOs in Water and Sanitation.
Acc No: 1050 1808 86016
Branch: Ring Road Central, Accra
Bank: Fidelity Bank

MTN Mobile Money number: 0558652313

MOLE REGISTRATION 2025

"*" indicates required fields

Step 1 of 4 - INTRODUCTION

Participant Type*

Select Booking Type*

Name

First Last

Email*

Please provide reliable email since, feedback is sent to it after submission. Thank you

Phone*

Employer/Company/Institution Name*

Participant List

Name

Phone