Individual Registration – Shea Conference

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Individual
Resgistration

GROUP
Resgistration

Individual Registration

First Name *

Family Name *

Contact name *

To Flutter Wave

Name of Company *

Contact Number *

Country *

Email *

Confirm Email *

Job function? *

Supply chain category? *

Interested applications? *

Food Personal Care Pharmaceuticals Animal feed Biofuel

Validate Checkbox

Number of employees? *

Primary objective for visiting? *

Interested in exhibiting next year? *

Have you paid your membership?*

Membership Options *

Click here for information on membership options

Membership Fee ($)

Conference Fee ($)

Invoice Dates

Invoice Number

SELECT OTHER ACTIVITIES

B2B Networking

$50.00

SMEs Business Training

$50.00

Shea Expo

$200.00

Site Visit

$100.00

PAYMENT SUMMARY

Do you want to pay online to enjoy 10% discount? *

Yes No

Do you want to Pay by using Debit/Credit Card?

Yes No

Pay Discount

Total

Total:

$

Discount

Discount:

$

Payable

Payable:

$

Privacy policy *

I confirm that I have read and agree to the privacy policy

Language

Payment Channels

Group Registration

Contact Name

First Name

Family Name

To Flutter Wave

Name of Company

Contact Number

Country

Email

Confirm Email

Job function?

Supply chain category?

Interested applications?

Food Personal Care Pharmaceuticals Animal feed Biofuel

Validate Checkbox

Number of employees?

Primary objective for visiting?

Interested in exhibiting next year?

Have you paid your membership?

Membership Options

Click here for information on membership options

Membership Fee ($)

CONFERENCE FEE DETAILS

Conference Fee

Number of Attendees

Conference Amount

Dates

Invoice Dates

Invoice Number

SELECT OTHER ACTIVITIES

B2B Networking

$50

B2B Total Number

B2B Amount

SMEs Business Training

$50.00

SME Total Number

SME Amount

Site Visit

$100.00

Visit Total Number

Field Amount

Shea Expo

$200.00

Expo Total Number

Expo Amount

ATTENDANTS DETAILS (Names and Selected activities)

Attendees Details

PAYMENT SUMMARY

Do you want to Pay online to enjoy 10% discount?

Yes No

Do you want to Pay by using Debit/Credit Card?

Yes No

Pay Discount

Total

Total:

$

Discount

Discount:

$

Payable

Payable:

$

Privacy Policy

I confirm that I have read and agree to the privacy policy

Language

Report attendetails

Payment Channels

Thank You!