Registration Form Nosotras Women Connecting Kenya
Day of the Event: August 16th, 2019.
Time: 1PM to 5PM
Place: Mega City Cinema Hall at KISUMU KENYA.
Contact:  info@nosotraslasmujeres.org or admin@legacy.co.ke


By completing this form you are applying for ONE ticket, valid for one person only,  for Nosotras: Women Connecting 2019 Kenya, this ticket is non-transferable and you must present the confirmation email at the entrance of the Cinema Hall


IMPORTANT NOTE:

All data given in this form will be handled with discretion and confidentiality according to the Law on the protection of the person from the processing of their personal data Law N ° 8968 of the Republic of Costa Rica. If you are a minor it is important that you make this form accompanied by a responsible adult person

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Email *
Email *
Name *
Phone Number *
Where do you live? *
Do you have any type of disability? *
Do you belong to any organization, group or organized group? If so, please indicate which *
Why do you want to attend the Nosotras Women Connecting Summit? *
I understand and accept that the tickets I am requesting are for the summit in Kisumu Kenya at the Mega City Cinema Hall *
Required
A copy of your responses will be emailed to the address you provided.
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