Conference Request Form

The fields marked (*) are mandatory

 

Please enter your name*

 

Please enter your email address*


Name of conference

Location of Conference

Practice, Growth Area or Subject Matter targeted by the conference

Cost of participation

Conference Category

For A&K and ATZ, select 'regional' if the conference is anywhere in East Africa. For AC&H, select 'regional' if the conference is anywhere in the Middle East

 

In what capacity will you be attending this conference

 

What would you like to achieve from this conference? (CTRL+Click to select multiple options)

Have you attended any conferences this year?

 

If yes, name the conference(s) below: