Registration Form - Egyptian Business Women Association

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Registration Form - Egyptian Business Women Association
10th African Congress for Women Entrepreneurs
14 Pan Afro Arab Congress for Business & Professional Women
14th Mediterranean Congress of Business & Professional Women
Cairo International Women Empowerment , Entrepreneurs and SMEs Summit
3nd Forum for the Mediterranean network for Business and Professional Women
2nd Forum for International Network for Entrepreneurship and SMEs development (INESD)
In Collaboration with
16th International Congress of Business and Professional Women – Egypt
Egyptian Business Women Association (EBWA)
Trade Promotion Fair for Micro, Small and Medium Entrepreneurs (MSMEs)
28-30 April 2015 - Mena House Hotel - Cairo, Egypt
th
Registration Form
(Please type in Block letters and send it back to
Egyptian Business Women Association EBWA - BPW – Egypt Secretariat )
Name (as in badge) : ………………………………………………………………………….……………………………
First Name
Family Name
Profession / Title / Post : ………………………………………………………………………………………………….
Association : …………………………………………………………………………………………………………..……
Company ………………………..……………………………………………………………………………………..……
Position : ………………………..……………………………………………………………………………………..……
Mailing Address : …………………………………………………………………………………………………………...
City : ……………………………………………………… Country : ………………………..……………………………
Tel.: Office :………………………………..………… Residence :………….………….Mobile : ……….………..……
Fax :……………………………….... E.Mail : ……………………………………… Website : …………………..….
I will present a paper
 Yes
 No
Registration Fees for the Congress.
Registration Fees
* Participant
* Accompanying Person
Before March 1st 2014
300 Euro
200 Euro
After March 1st 2014
350 Euro
250 Euro
Subtotal (1) : ………………..
Payment :
Please address your method of payment to the favour of :
Congress Service Center ( EBWA )
Acc. No. 0023 126 000 2248
Swift Code : AGRIEGCX
Bank : Credit Agricole – Egypt
Branch : Mohandessin Syria St., Branch – Cairo – Egypt
Address : 4 Syria St., Mohandessin – Cairo – Egypt
( Credit cards & personal checques are not accepted)
I enclose with this form :
* Copy of Bank Transfer
in the amount of …………………………….
Date
Signature
…………………
…………………
(1)
Egyptian Business Women Association EBWA – BPW – Egypt Secretariat
14 Syria St., Mohandeseen, Cairo, Egypt
Tel:
+202-33368304,
+202-37495670 Fax: +202-37495671
Mobile : + 201222305832 / + 201223144361 / + 201222159967
Email: [email protected] / [email protected] / web: www.ebwa.info