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Registration Form
MOLE Conference Series
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Event Timing: Arrival - 6th October, 2024
Departure - 11th October, 2024.
Event Address: The Executive Secretary
CONIWAS: +233244595664: Email: coniwas@yahoo.com / coniwas@gmail.com
REGISTRATION FEES / person / day (GHS):
CONIWAS MEMBERS
(CBOs): Residential 1,100.00 PER DAY: Non-residential 500.00 PER DAY
(National NGOs): Residential 1,500 PER DAY: Non-residential 700 PER DAY
(International NGOs): Residential 1,800 PER DAY: Non-residential 1000 PER DAY
NON-CONIWAS MEMBERS
Private/Strategic partners:
Residential: GHS 2,000.00 PER DAY
Non-residential: 1200 PER DAY
International Participants
Residential: USD 200.00 PER DAY
Non-residential: USD 150.00 PER DAY
NOTE
The fee covers accommodation, breakfast and dinner for residential participants only, and conference package including lunch, snacks, and conference materials for all participants.
Exhibition: Members: GHS: 3,500
Non-members GHS: 4,000.00
Side Event: Members: GHS 4,500
Non-members: GHS: 5,000.00
PAYMENT DETAILS
Registration Fee can be paid into CONIWAS account using the following account details:
Acc Name: Ghana Coalition of NGOs in Water and Sanitation.
Acc No: 1050 1808 86016
Branch: Ring Road Central, Accra
Bank: Fidelity Bank
Registration fee may also be paid through MTN Mobile Money number: 0558652313
REGISTRATION DEADLINE
Conference registration is officially complete after FULL PAYMENT by 30th September , 2024.
Please any registration after 30th September 2024 shall not be accepted
Participant Type
*
Select Type
CONIWAS Member - CBO
CONIWAS Member - National NGO
CONIWAS Member - International NGO
Non CONIWAS Member - Private/Strategic Partners
International Participants
Conference Participant Details
*
Select Option
Attendance ONLY
Invited Guest
Name
First
Last
Email
*
Please provide reliable email since, feedback is sent to it after submission. Thank you
Phone
*
Sponsored By
*
Accomodation Details
Arrival Date
*
MM slash DD slash YYYY
Accomodation Type
*
Select Type
– Fill Out Other Fields –
Participant Cost
*
Select Cost
– Fill Out Other Fields –
No Of Days
*
Select
1
2
3
4
5
Total Acc. Cost (GHS)
Diet Details
Dietary Restriction
*
None
Vegetarian
Others! Please specify below
Write Dietary Restriction Others
*
Dinner Agreement
*
We kindly request that you bring formal attire for our dinner night on October 10th, as this year's event will be particularly special in celebration of our anniversary.
Exhibition Details
Want to Exhibit Company Services/Product?
*
Select Option
Yes
No
Name Of Exhibitor's Company
*
Exhibition Cost
*
Select Option
– Fill Out Other Fields –
Side Event Details
Want to Feature In Our Side Event?
*
Select Option
Yes
No
Name Of Side Event Company
*
Side Event Cost
*
Select Cost
– Fill Out Other Fields –
Total Cost (GHS)
For International Participants. Please pay USD Equivalent. Thank you.
PAYMENT DETAILS
Registration Fee can be paid into CONIWAS account using the following account details:
Acc Name: Ghana Coalition of NGOs in Water and Sanitation.
Acc No: 1050 1808 86016
Branch: Ring Road Central, Accra
Bank: Fidelity Bank
Registration fee may also be paid through MTN Mobile Money number: 0558652313
REGISTRATION DEADLINE
Conference registration is officially complete after FULL PAYMENT by 30th September , 2024.
Please any registration after 30th September 2024 shall not be accepted.
Payment Agreement
I understand that I will have to pay fully by 30th September, 2024 to complete my registration.
I understand that I will have to pay fully by 30th September, 2024 to complete my registration.
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