Register RSAfCFTA REGIONAL SEMINAR REGISTRATION FORM Attendee's Name Mr/Mrs/Dr* Company/Organization Name Company/Organization Will Appear On Conference Badge Company/Organization Name Job Title Company/Organization Contact Number* Cell Phone Number Home Phone Number Office Phone Number Email Address* Region City When Will You Arrive? Date Time —Please choose an option—12:00 AM12:30 AM01:00 AM01:30 AM02:00 AM02:30 AM03:00 AM03:30 AM04:00 AM04:30 AM05:00 AM05:30 AM06:00 AM06:30 AM07:00 AM07:30 AM08:00 AM08:30 AM09:00 AM09:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM01:00 PM01:30 PM02:00 PM02:30 PM03:00 PM03:30 PM04:00 PM04:30 PM05:00 PM05:30 PM06:00 PM06:30 PM07:00 PM07:30 PM08:00 PM08:30 PM09:00 PM09:30 PM10:00 PM10:30 PM11:00 PM11:30 PM Your Conference Profile* Participant Attending* Morning SessionsAfternoon Sessions [checkbox* "pay by submitting the Registration form you are agree to pay."] Please prove you are human by selecting the heart.
