Course Registration Form

KENYA UNITED WITH WILLIAM SAMOEI RUTO

Fill out the form carefully for registration
Your name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your email
example@example.com
Mobile Number
Phone Number
AIR YOUR VIEWS AND WHAT YOU WANT RUTO TO DO TO IMPROVE OUR ECONOMY..... contact Kevin Amenya Tharaka , kisii youth leader ...0793752544 ,,,, kevinamenya777@gmail.com
Should be Empty:

KENYA UNITED WITH WILLIAM SAMOEI RUTO