Registration

Register for #AfCEM20 - CLICK HERE for Pricing

Name *

First

Last

Email *

Phone *

[Country Code][Phone Number] e.g. 254710633855. Do not put the (+) before the Country Code

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Institution/Organisation *

Position *

Income Category *

Currency *

Only Kenyans can pay in Kenyan Shillings. All other income categories must select US Dollars.

Registration Type *

Full Conference (Nov. 10-12, 2020) + Pre‐Conference Course/Skills Lab (Nov. 9, 2020)
Full Conference (Nov. 10-12, 2020) ONLY
Pre‐Conference Course/Skills Lab (Nov. 9, 2020) ONLY

Make a Donation

Support-a-delegate (Supadel)
African Federation For Emergency Medicine (AFEM)
Emergency Medicine Kenya Foundation (EMKF)

Pay via *

Mobile Money – MPESA Till No. 578355
Bank Transfer (see banking details below)
Visa/Master Card

Kindly note that if your payment is not received when you register, your registration will be declined and you will have to register again when making the payment. The current conference registration fee will apply at the time of the registration.

Comment or Message

Website

Banking Details

Bank Account Name: EMERGENCY MEDICINE KENYA FOUNDATION

Bank Account Number: 0061085001 (KES) / 0061085002 (USD)

Bank Name: DIAMOND TRUST BANK

Bank Branch Name: INDUSTRIAL AREA

Bank Branch Address: INDUSTRIAL AREA, LIKONI ROAD, NAIROBI, KENYA

Bank Branch City: NAIROBI

Type of Account (checking, savings, etc): CHECKING

ABA/ACH Bank Routing Number: NA

SWIFT/BIC Code (Outside US & Canada): DTKEKENA009

Special Bank Code if applicable: 63009

Remittance Email Address: emkf@emkfoundation.org