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Fees and Registration

“Thank you for your interest in attending the Africa Fairtrade Convention 2011. The form below will process your
registration and allow the option to pay for your participation now via credit card or later via electronic transfer”.

First Name/ Prenom *
Last Name/ Nom*
Email Address *
Country/Pays*
Company name/Nom de votre société
Job Title/Fonction
Website
Phone/Telephone
Would you be attending the field trip on 22/11/2011?
How I would like to participate Fairtrade certified producer
    
Please provide your
FLO CERT ID
 
  Other stakeholder
e.g. LI, Licensee, Trader, NGO, Retailer, etc.