JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
* Africa Focus Network * MEMBERSHIP REGISTRATION
To apply for membership, please complete all questions.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Phone Number
Your answer
LinkedIn Name
Your answer
MEMBERSHIP PLAN
Do you want to sign up as: a) Individual OR b)Institution? Please choose one section.
Membership Plan (Individuals)
Currently enrolled as an undergraduate or graduate University student ($20)
Working professional ($100)
How will you pay?
*
Paypal (
info@africafocusnetwork.com
)
Zelle (
info@africafocusnetwork.com
)
Please invoice me
Paypal direct link (
https://www.paypal.com/webapps/hermes?token=62M628047S9098213&useraction=commit&rm=0&wpsFlowRedirectToXorouterSkipHermesStartTime=1680554150530&mfid=1680554150198_f634061ca3d93
)
Other:
Sample Certificate of Membership
How would you like your name written on the Certificate of Membership? [Only for members who paid their Membership Dues]
Your answer
Comments
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
