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Your Schedule
· Name,:
Surname:
.
.
· Address:
..
.
.
· Phone Number:
.
.
· Fax :
.
.
·
Email :
.
..
· Contact Address :
Postal:
Phone:
.
E-Mail:
..
Your
association
· Name :
.
...
· Contact Address :
Postal :
.
Phone:
.
E-Mail:
..
Your participation
in Johannesburg Congress
· I would like to take part in two
conference days (24-25 April) : m yes m no
·
I would like to take
part in training workshop number. (26-30 April)
m1 m2 m3 m4 m5 (choose the training
workshop).
· I will arrive in
· What do you expect of this congress ?
·
Your commitment after
the congress (designation, group, address)
Date
..
Signature :
.
Methods of registration
·
Persons wishing to
participate in the activities of the 1st AFLF Congress are kindly
requested to fill in the registration form and
to send it to the
following address before the end of February 2004.
Email : aflffaaf@yahoo.com
Postal Address :
Aude TAMPE Collθge VOGT
BP 765 Yaoundι -
Phone : 00 237 995 72 75
·
Prices : according to your choice
|
|
Date |
Unit Price |
Number |
Line total |
|
24-25 April |
230 |
|
|
|
|
Pack « Training workshop » |
26 30 April |
230 US$ |
|
|
|
24 30 April |
420 |
|
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Additional day |
|
35 |
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TOTAL |
|
The
amount has to be paid into the following account :
-
Account Name : Day call account The Fertility Mastery Association
of South Africa (FERMASA)
-
Bank
: ABSA Bank- Edenvale
-
Account number : 907078720
-
Branch code : 630-642
20 % reduction price for registration before
·
For further information , contact :
Email : aflffaaf@yahoo.com
Adresse Postale : Aude TAMPE Collθge VOGT BP 765 Yaoundι - Cameroun
Tιlιphone : 00 237 995 72 75