Pocket Breast Cancer Awareness Walk (PBCAW)

Pocket Breast Cancer Awareness Walk (PBCAW) Registration Form

Let’s help you get ready as you provide the following info!

Name *

First

Last

Gender *

Male
Female

Phone Number *

Provide a contact phone number

Email *

Where do you intend to walk (cover) during the next Pocket Breast Cancer Awareness Walk? *

Write the area to be covered

How many of you will be doing the Walk?

Selected Value: 0

Slide to choose the number of people you will be walking with.

How many people do you plan to engage?

Selected Value: 0

Slide to choose the number of people you (& your team) will share awareness materials to, could be a group of people working out, or people along your chosen route.

Will you (and your team) need customised BCAW T-shirts? *

Customized tops will be given and will help spread the message. Orders must be concluded at least 10 days to the walk date.

How do you intend to receive the walk materials from us?

Deliver to door step
Pick up

Choose how you want the delivery of materials for walk.
Delivery Fee:
N1000 within Rivers state.
N5000 elsewhere within Nigeria.