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4th Annual International Humanitarian Partnership Conference 2016
Participant Registration Form
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Surname
*
Your answer
Other Name
*
Your answer
Country
*
Your answer
Job Title
*
Your answer
Email Address
*
Your answer
Name of your organization in full
*
Your answer
Telephone
*
Your answer
How did you find out about the Conference?
*
(e.g. from IAWG bulletin, referral, Email circulation, IAWG website etc)
Your answer
Special requirement
*
Please list any special requirements that you may have in relation to food (i.e. allergies, vegetarian, Halal, etc) and other specific conference needs.
Your answer
Are you a Person with Disability?
*
Yes
No
Invoice to be addressed to; Name and Organization
*
Your answer
Preferred Payment Currency
*
(Either United States Dollar (USD) or Kenya Shilling (KES) )
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