MSRA Events Registration Form

REGISTRANT DETAILS:
Name (required):
Email (required):
Tel/WhatsApp:
------------
Select Event to attend: Register for: MSRA Annual Conference 2019
Company:
Position:
------------
Please tell us what you would like to gain from this particular event?

PAYMENT DETAILS:
Select payment method (required): —Please choose an option—Lipa Na-MPesaCashCheque
MPesa or Cash/Cheque deposit details:
—Please choose an option—I have MPesa transaction codeI gave cash to MSRA SecretariatI will give cash to MSRA SecretariatI will deposit cash at NIC BankI gave a cheque to MSRA SecretariatI will give cheque to MSRA SecretariatI will deposit a cheque at NIC Bank
MPesa transaction code (if applicable):
------------
Spam Test:
Is MSRA located in the UK, USA, Kenya, Russia or Holland?
Please prove you are human by selecting the Cup.