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Conference Registration
NOTE:
The downloaded forms must be completed and faxed through Peter M. Ngaruiya - details appear on the form.
8
th
African Dairy Conference and Exhibition
April 25
th
– 27
th
2012 Kenyatta International Conference Center
Conference registration form
Kindly send this form duly filled by
6
th
April 2012
to: Secretariat Fax: + 254 (0) 20 3745056 or email
secretariat@dairyafrica.com
; Tel +254-721266481
*
Marked entries
MUST
be filled
*
Name:
*
Surnames:
*
Position:
*
Organization/Company
*
Postal Address:
*
City:
Postal Code:
Country:
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burma (Myanmar)
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Rep.
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo (DRC, Zaire)
Costa Rica
Cote D Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
New Zealand
Nicaragua
Niger
Nigeria
Northern Ireland
Norway
Oman
Pakistan
Palau
Palestinian State
Panama
Papua New Guinea
Paraguay
Peru
Poland
Portugal
Qatar
Reunion
Romania
Russia
Rwanda
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Scotland
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St. Kitts and Nevis
St. Lucia
St. Vincent and The Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
The Netherlands
The Philippines
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City (Holy See)
Venezuela
Vietnam
Wales (U.K.)
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
*
Tel:
(e.g +254722123456)
:
Fax:
*
Email
Website:
Registration:(Please tick as appropriate)
Member
Early Bird
15
th
Feb 2012
Deadline
6
th
April 2012
On-site
Registration
Mark the day(s)
Full registration
$320.00
$400.00
$470.00
N/A
One day registration
$150.00
$200.00
$250.00
Wednesday
Thursday
Friday
Non - Member
Full registration
$380.00
$450.00
$520.00
N/A
One day registration
$200.00
$250.00
$300.00
Wednesday
Thursday
Friday
ANNUAL MEMBERSHIP TO ESADA:
Corporate membership:
includes dairy and dairy related processors, pay an annual membership fee of
US$50
Associate membership:
international, regional, nationally based organizations related agencies and ancillary companies pay an annual membership fee of
US$100
Please fill in the Membership form available on www.dairyafrica.com to be eligible for the discounted rate
Full Registration Includes:
Admission to all conference sessions, conference material, visit of the exhibition, lunches on Wednesday, Thursday, Friday and dinners when foreseen and one of the complimentary activities scheduled for Thursday
April 26, 2012 at 14:00 – 18:30
.
FIELD VISIT:
please select one
Visit of a processing plant
Visit of a dairy farm
City and Museum tour
I will not participate
One Day Registration Includes:
Admission to all conference sessions, conference material, visit of the exhibition, lunch, dinner (if foreseen on the selected day), one of the complimentary activities scheduled for Thursday,
April 26, 2012
(Please tick one above IF day registration is for Thursday)
Payments Terms
Registrations MUST be accompanied by payment. If payment is not received by the above deadlines, registration will not be considered valid and the next deadline fee will apply.
Bankers Cheque
in favour of ESADA Secretariat P.O. Box 195 - 00606 Sarit Center Nairobi Kenya
CANCELLATION TERMS:
BEFORE 1
st
April 2012 = Refund minus $70 processing fee
Thereafter = NO refund
Online Payment system
through JamboPay
Telegraphic Tansfer
to:
Commercial Bank of Africa, Wabera/Standard Street, P.O Box 30437 – 00100 Nairobi Kenya, in favour of ESADA SECRETARIAT A/C No. 024 257 551 2 Swift Code CBAFKENX
Cash
only for on site registrations or at the ESADA offices in Nairobi
Date:
Fri 18 May 2012
As a security measure, please type
77982
here:
8th African Dairy Conference & Exhibition Sponsors
Copyright 2000-2012 Eastern & Southern Africa Dairy Assosciation.
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