KEREA

Kenya Renewable Energy Association

Online Registration Form

PERSONAL CONTACTS

Firstname(*Required):
Surname(*Required):
Contact Person(If Coporate):
Firstname(*Required):
Surname(*Required):
PostalAddress(*Required):
Physical Address:
MobilePhone Number(*Required):
Landline number:
Fax Number:
Email Address(*Required):
MEMBERSHIP

Class Of Membership:
	Full Membership Associate Member
	Full Membership-Individual


	Technician Student

Nature Of Renewable Energy(RE) Activities/Business You are Involved In:
	RE Equipment Manufacturer
	RE Equipment Dealer
	RE Consultant
	RE NGO
	Other Specify

PAYMENTS
SUBSCRIPTION FEES*:
	To Send Cheque
	Please Collect From Our Office
	Kenya Renewable Energy Association AC No 1340101,Barclays Bank Haile Sellasie Branch
	Other(Specify)