Moment With Africans Festival Registration Form
If you are interested in participating, please register now.
Event Details
Date – Nov1 – Nov7, 2023 Time – 10 am –6 pm
Note
All fees should be paid in full for participants to receive the event documentation and letter. An invitation letter and the event documentation will be provided to all selected participants, yet we are not responsible for getting participants a visa. All communications from Alaafia will come from this email info@alaafiaafrc.org
Have you ever been charged with/ committed any of these crimes? You can't register for this event if you say yes to any of these options.
Sexual Assault/Rape
Domestic Violence
Human Trafficking
Human Rights Violation
Violence Crime
Full Name
*
First Name
Last Name
What is your nationality?
E-mail
*
example@example.com
Phone Number
*
Number of people attending
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Country
Details for the Other Attendee
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Country
What is your Profession?
Tell us about yourself.
Tell us about your business.
What type of product/service do you sell?
Do you want to sell your product/service during the festival?
Write 300 words on why you should be selected to attend the Moment with Africans festival. ( 70 Marks)
Are you interested in doing a presentation during the festival?
Do you want to be part of the Q&A session during the festival?
Are you able to pay for flight, lodging and food during your stay?
Yes
No
Payment Option for Registration
Please include the full name you register with when making the payment.
PayPal -
info@alaafiawomen.org
Cashapp - $alaafiawomen
Moneygram - Alaafia Women's Corporation - Wisconsin, United States
Debit/Credit Crad
Register
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