APPLICATION FORM GDN MEMBERSHIP

APPLICATION FORM GDN MEMBERSHIP
Please complete this form; sign this application form and return to The Ghana Design Network
(NB: Students are required to fill all parts labeled *, Organizations are a required to fill the whole form)

Email us: info@ghanadesign.net
Email *
example@example.com
Name

First Name Last Name
Are you a student *

Yes No
Gender *

Male Female
Name of Institution (If Student)
Name of Company
Position *
File Upload (If Student, upload School ID, Agencies should upload proof of Registration

Browse Files

Cancel of
City *
Physical Address (For Agency)
Phone *
Website
Facebook
Instagram
Twitter
Design Field *

Arts and Crafts Communication and Branding Spatial: Interior Design Digital Design Fashion Design Graphic Design Photography Spatial Architectural Design
Please give a short profile (individuals) or short description of your company *
Optional: Upload Profile Picture (Individual Designers) Company Logo (for Agencies)

Browse Files

Cancel of
Annual Membership Fees *

Students 100ghc Originatives 250ghc Prolifics 500ghc Creative Giants 1000ghc
Choose Payment Method *

Mobile Money Bank Payment
Mobile Money

Mobile Money Account (MTN): 0248509053
Bank Payment

Bank details:

GDN Limited,

Universal Merchant Bank (UMB),

Oxford Street Branch.

Account Number 0271392189018
Date *

Month Day Year
Date Date Picker Icon
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm