Registration Form - Egyptian Business Women Association
Transcription
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