CMDA Nigeria Payment Page

Donation and Payment of Dues
Reminder Form

Donation and Payment of Dues
Reminder Form

Select the appropriate option

Select Donate Here to make your donations and pay now.

Select Offline/Pay-later Form to fill a donation form and pay later.

Select Pay Dues Here to pay your annual dues to local chapter or/and national.

Donate Here

Donation Form

Full Name *

Email *

Amount (NGN) *

Recurring Payment

Area of need *

General donation National Secretariat Building Project Missions Institute of Medical Missions (IMM) Institute for Excellence in Healthcare and Leadership (IfEHL) CMDA ICT Department Publications

Specify amount if more than one is checked

Phone Number *

Deduct my annual dues from donation?

Not applicable No Yes

If yes, where should it apply?

Not applicable State Chapter National

Select Country from list *

Select State from list *

* are compulsory
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Offline/Pay-later Form

Kindly fill the form if you are not ready to make payment immediately. You can make a transfer or a direct bank deposit.

Account name: Christian Medical and Dental Association of Nigeria

Bank: UBA,

Account Numbers: 1018339742 (Naira), 3001905677 (USD)

Prefix

First Name *

Middle Name

Last Name *

Email Address *

Phone *

Amount *

NGN

Recurring payment? *One-offMonthlyQuarterlyBi-annuallyAnnually

Areas of need *

General donationNational secretariatBuilding projectMissionsInstitute of Medical Missions (IMM)Institute for Excellence in Healthcare and Leadership (IfEHL)ICT departmentPublications

Kindly specify amount for each of the boxes checked

Deduct my annual dues from donation?Not applicableNoYes

Specify amount to be deducted

Where should it applyNationalState

Select Chapter

Country

Please do not fill in this field.

Pay Dues Here

Dues Payment Form

Full Name *

Email *

Amount (NGN) *

Transaction Charge: , Total:

Recurring Payment

Phone Number

State where chapter is located

Chapter

Where should your dues be paid

Chapter National

* are compulsory
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