MSRA Events Registration Form

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



PAYMENT DETAILS:
Select payment method (required): ---Lipa Na-MPesaCashCheque
MPesa or Cash/Cheque deposit details:
---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):
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