World Congress PanAfrican 2007 Registration

** Participants must make their own travel arrangements to and from Senegal although a host attendant will welcome them after custom/police formalities upon arrival, and accompany them to the airport two (2) hours before departure.
*** Arrival and departure flight, date and time of each participant must be communicated (via email only) to hosting committee@jsapublshing.com **** A listing of Airlines, hotels and rates will be provided to accepted applicants

WORLD CONGRESS OF PANAFRICANS / CONGRES MONDIAL DES PANAFRICAINS SENEGAL 2007 Registration

WORLD CONGRESS OF PANAFRICANS/CONGRES MONDIAL DES PANAFRICAINS
P. O. Box 954074
Lake Mary, Florida 32795-4074

Payment Options:

If you are using a credit card, complete this form and submit it, then click "To Pay Registration Fee" button above and follow directions. The registration fee is $150.
If you are not paying by credit card; complete this form; print a copy of the form; then submit it. Send your money order or bank cashier's check equivalent to $150, with the form, to the address above.

Registration is not completed until full payment is received by one of the above options.

Name*

FIRST NAME/PRENOM

LAST NAME/NOM

Address*

CITY/VILLE

STATE/ETAT

COUNTRY/PAYS

ZIP CODE

Emergency Contact

Medical Condition, and contact in case of emergency/Condition medicale, et contact en cas d’urgence

Name*

Telephone

COUNTRY/PAYS

World Congress of Panafricans
Contact Us: organizingcommittee@jsapublishing.com

Post Office Box 954074, Lake Mary, Florida 32795-4074