Full Name * Company / Organization * Email Address * Phone Number * Partnership Package * Select Package Networking Cocktail Branding Materials Delegates Sponsorship Gala Dinner Sponsor Exhibitor Ksh.150,000 Parallel Session/Side event Sponsor Ksh.350,000 Silver Package Ksh.450,000 Gold Package Ksh.1,000,000 Diamond Package Ksh.1,500,000 Platinum Package Ksh.1,500,000 Company Website Billing Address Special Requirements / Notes Proceed to Payment

Payment Instructions

Please follow the instructions below to complete your partnership payment:

Pay via MPesa:

• Pay via M-Pesa Paybill: 400222
• Account Number: 634548#FirstName
• Amount: According to selected package

Pay via Bank:

• Bank Name: Cooperative Bank
• Bank Branch: Aga Khan Walk
• A/C Name: COMMUNITY HEALTH SVS AND DEV OFFICERS ASS
• Account Number:01134732863400

Once you have made the payment, click below to confirm and submit your registration.

Confirm & Submit Back to Form