6. NAME OF DELEGATE TITLE EMAIL ADDRESS CONTACT NUMBER
1
2
3
4
5
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10
NAME OF ORGANISATION: Date:
PLEASE FILL IN CLEARLY.
Please send the lled form to info@lloydsafrica.com
MODE OF PAYMENT
CHEQUE
BANK TRANSFER
CREDIT CARD
CANCELLATION/SUBSTITUTION/REFUND POLICY
Provided the total rate has been paid, registrants who are unable to attend may send
a substitute delegate at no extra cost if the organizers are made aware at least 3 days
to the event. If you are unable to nd a subsitute, please notify Lloyds Africa Emerging
Markets Limited in writing up to 7 days prior to the workshop date and a credit voucher
valid for 1 year will be issued to you for the full amount paid, redeemable against any
other Lloyds Africa Emerging Markets Limited event/training.
Conference fee is non refundable. Non-payment or non-attendance does not constitute
cancellation. Delagates cannot “share” the entry pass between attendees without prior
authorization.
FOR FURTHER ENQUIRIES PLEASE CONTACT:
Faith Loui
faith@the-digital-agenda.com
+254 712 817 859
BANK DETAILS
CARD PAYMENTS
Cardholder’s Name:
Card Number:
Exp. Date: Signature:
Total Amount Due:
V-Code (3 digit number on the back of the card)
Lloyds Africa Emerging Markets
West End Towers, 6th Floor, Waiyaki Way, Nairobi
REGISTRATION FORM
20-22th May,
Lake Naivasha Resort
WORKSHOP RATES(EXC. VAT)
STANDARD RATE $550
Authorization Signature
Masterclass
