Registration

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Title

Name

First

Middle

Last

Mobile Phone No

Workstation/Institution

Country

Workstation Type

Postal Address

HOTEL OPTIONS	ROOM TYPE	BOARD BASIS	RATE PER NIGHT	DISTANCE FROM VENUE
Grand Royal Swiss Hotel	Single	BB/HB	KES 12,500/13,000	At Venue
Grand Royal Swiss Hotel	Double/Twin	BB/HB	KES 21,000	At Venue

Accomodation

Country (Tick No

Board Basis

Room Preference (Tick appropriately

AIRPORT TRANSFERS

Airport Pickup Required

Airport Drop-off Required

Airline & Flight Number

Airport of Arrival/Departure

Registration will be confirmed once full payment is received. Registrant shall pay all transaction fees.

ACCOUNT NAME: RASCO Account ACCOUNT NO: 1125980508 BANK: Kenya Commercial Bank BRANCH: KCB Moi Avenue BANK CODE: 011005 SWIFT CODE: KCBLKENX

LIPA NA M-PESA: PAYBILL NO: 4114145 (RASCO) ACCOUNT NAME: YOUR NAME (i.e John Doe) Note: Cash payments will not be accepted!