Add to Calendar
firstname :
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lastname :
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email :
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Phone number :
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Company/Organization Name :
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Company Website :
Industry Category :
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Select One
Medical Equipment Manufacturer
Pharmceutical Company
Health Technology Provider
Insurance& Financial Services for Healthcare
Hospital Management System Provider
Telemedicine & Remote Diagnostics
Other (Specify):
Exhibition Package Selection :
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Select One
Title Sponsor-500,000
Gold Sponsor-200,000
Silver Sponsor-150,000
Exhibitor-100,000
I confirm my selection of the above package :
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Workshop Headlining (For Title Sponsors Only) :
Please select your preferred workshop
Quality of Care & Patient Safety
POCUS Workshop
Infection Control & Prevention Workshop
Laboratory Managers Workshop
Digital Health Workshop
Product/Service Showcase :
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Payment Details :
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Mode of Payment: (Select One)
Bank Transfer
Cheque
MPesa
Other
Amount Paid :
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Transaction Reference Number :
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I have read and agree to the terms and conditions :
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