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HerAid ×Dèbbo Africa Free and Discounted Cervical Screening Registration form.

Date: Monday, 23rd of June,2025.
Time: 9:00AM
Location: Block 52, Plot 4, Omorinre Johnson, Lekki phase 1, Lagos.

Full name

Age

Phone number

Email address

Location

Location

Are you interested in the free and discounted screening happening at Debbo Africa on Monday 23rd

Are you interested in the free and discounted screening happening at Debbo Africa on Monday 23rd

Would you be willing to pay the discounted fee(17,500) in the event the free slot finishes

Would you be willing to pay the discounted fee(17,500) in the event the free slot finishes