


Please downlaod the following registration form, complete and email to the email address: registration@panafricanchamber.com
Click: download the registration form (English) to get the registration form.
____ download the registration form (French)
The form reqires you to fill only the following few information:
First Name:
Middle Name:
Last Name:
Birth Date:
Nationality
Passport Number:
Issued Date :
Expiry Date:
Physical Address:
City :
Country:
Tel/Fax:
Mobile:
Email:
Chamber Organization:
Position:
Function at conference:
National Chamber Representative
Participant
Guest of Honor
Observer
Other