You are expected to have paid the due amount for your preferred membership type before proceeding with this form, as you would be required to input your payment details in the field below.
Make your Membership payment to by following the transfer instruction below:
Beneficiary Bank: zenith bank plc
Beneficiary Bank Swift Code: zeibngla
Intermediary Bank:
Citibank N.A.
111 Wall Street, New York,
New York 10043
Intermediary Bank Swift Address: citius33
Intermediary Bank ABA No: 021000089
Intermediary Bank Account No: 36204566 (usd)
Beneficiary: Initiative for Cognitive Therapies and Mental Health
Account Number: 507……