Registration Form

Full name

First NameLast Name

Email address*

example@example.com

Phone number*

Country CodeArea CodePhone Number

You may register with payment online or manually through one of the following ACSI country offices of your choice:

ACSI Nigeria (Manual payment available)ACSI Kenya (Manual payment available)ACSI Uganda (Manual payment available)ACSI Southern Africa – only webpage registration is available.

Will you purchasing a day entry or the all inclusive package?

Day entryAll inclusive package

Single or Sharing room?

Own room with bathroomSharing a room with a bathroom

How will you be paying?

EFT - Direct Bank TransferCredit / Debit Card

How will you be paying?

Credit / Debit Card

You will be redirected to a confirmation screen once you submit the form where you will receive the banking details to complete your manual payment.

You can then follow the instructions there to send your payment confirmation through so that you can be registered.

You will be redirected to PayPal to complete your card payment to ensure your registration.

Additional information:

Sub Total

Total to be paid

USDDescription

EFT Total

Please verify that you are human*