Participant Details
Family Name ………………………………………………………..
Fist Name ………………………………………………………..
Position …………………………………………………………
Organisation ……………………………………………………….
Country of Residence …………………………………………
Cell phone number …………………………………………..
Landline …………………………………………………………….
Email ……………………………………………………………………
Registration Details
Title of Course …………………………………………………………………………………………..
Start Date of course …………………………………………………………………………………….
End Date of course …………………………………………………………………………………….
Number of sessions …………………………………………………………………………………….
Cost of Course per person …………………………………………………………………………..
Number of people attending ………………………………………………………………
Total cost due ………………………………………………
Payment method Paypal [email protected]
Date of payment sent …………………………………………………………
Please note that payment must be completed one week before the start of the course
Once payment has been received your Zoom invitation will be sent to join the meeting
Please send the completed form to Dr. Juliet Waterkeyn email [email protected]
Thank you for registering with Africa AHEAD Association
We look forward to your participation