Page 1 of 1
CORUSH MEMBERSHIP REGISTRATION
Full Name (As it appears in travel document)
*
Email
*
Phone Number
*
Date of Birth
*
Gender
*
What country do you live in?
*
Have you travelled outside Nigeria before ?
*
Have you travelled outside Nigeria before ?
A
Yes
B
No
Countries visited
*
What's your favourite travel style
*
What's your favourite travel style
A
Luxury
B
Budget
C
Adventure
D
Solo
E
Group
How often do you travel?
*
How often do you travel?
A
Monthly
B
Quarterly
C
Bi-annually
D
Annually
How did you hear about us?
*
How did you hear about us?
A
Social Media
B
Friend/Family Referral
C
Online ad
D
Other
Please Specify
*
Membership Interest
*
Membership Interest
A
PLATINUM - N250,000 p/a
B
GOLD - N100,000 p/a
C
SILVER - N50,000 p/a
D
REGULAR - FREE
KINDLY CONTACT US ON +2348095158411 04 +2348033086214 FOR PAYMENT
Submit
