Participant Registration

It is essential that all those intending to participate in the Congress do register. This will allow us provide you with up-dates on the Congress preparations and other relevant information useful for intending participants.

The Registration Form is available on the Congress Webpage: www.act.org.zw OR you could request for one from the Congress Secretariat using the following email addresses: actnetwork@africaonline.co.zw or actnairobi@wananchi.com

You could also register online using the form provided below:

Online Registration

In the form below, please provide the requested information.
Note: Fields with the asterisk (*) next to them require the information requested to be supplied.

Personal Details

»	Your title: *

»	Your surname: *

»	Your other name(s): *

»	Your Country: *

Contact Details

»	Your email address: *

»	Your postal address: *

»	Your phone number: *

»	Your fax number:

Organization Details

»	What is the name of the organization you are affiliated to?

	What type of organization is it? (e.g. research organization, NGO etc)

	What is your designation/title within the organization?

Participant Type Details

»	What kind of participant are you?
	Presenter Working Group Member

Presentation(s) Details

In the space provided below, please list the presentation(s) that you are going to present in the following format:
Please note: Try to keep your abstract/summary to less than 250 words.

A) Presentation_name_1 (MS Powerpoint)
Short summary/abstract of the presentation

B) Presentation_name_2 (MS Word)
Short summary/abstract of the presentation

Substitute for 'MS Powerpoint' or 'MS Word' with the format of your presentation.

Travel & Accommodation Details

»	Provide the airline name and flight number: (e.g. KQ 101)

»	What is your date and time of arrival in Nairobi? (e.g. 2nd October 2005, 0300hrs)

»	What is your departure date and time from Nairobi? (e.g. 8th October 2005, 1100hrs)

»	Do you require airport pickup?

»	Select the hotel you wish to reside in during your stay in Nairobi: (Note: The hotel name and rates per night are listed below; BB - Bed & Breakfast; US$ - US Dollars); To read more about hotels, click here.

»	How many nights do you intend to spend at the hotel?

Payment Details

»	Who is taking care of your expenses?

Accompanying Persons Details

»	If you are being accompanied by any other persons, please provide their names in the space provided below - just list them in the format: 1. Name_of_Person_1 2. Name_of_Person_2

Participant & Companion Tours

»	Please select the post congress tour that you would be interested in AND also indicate the tour(s) that your companion would be interested in (if you are accompanied, that is). To read more about the tours, please visit the Congress Field Visits, Post Congress Tours and Companion Tourist Packages web pages.
	Select the Congress Field Visit you wish to participate in:

	Select the Post Congress Tour that you wish to participate in:

	Select the tour(s) that your companion is interested in:
	PBTN 1: Half day - The Nairobi city tour PBTN 2: Half day - Karen Blixen Museum and the Giraffe Centre PBTN 3: The Carnivore Experience PBTN 4: Nairobi National Park (3 Hours) PBTN 5: Nairobi National Park – Bomas of Kenya (5 Hours) PBTN 6: Nakuru National Park (1 Night, 2 days) PBTN 7: Amboseli National Park (1night, 2 days) PBTN 8: Aberdare National Park (1 night, 2 days) PBTN 9: Maasai Mara National Reserve (2 nights, 3 days) PBTN 10: Maasai Mara National Reserve (2 nights, 3 days) PBTN 11: Nakuru/Massai Mara (3 nights, 4 days) PBTN 12: Aberdare/Mt Kenya and Samburu (3 nights, 4 days) PBTN 13: Amboseli Tsavo (4nights, 5 days from Nairobi) PBTM 14: Mombasa Town (3hours) PBTM 15: Mamba Village (2 hours) PBTM 16: Discover Mombasa by night (dinner at Fort Jesus) PBTM 17: Tamarind Evening Dhow PBTM 18: Ngomongo (cultural tour) PBTM 19: Lamu Island (2 nights, 3 Days) PTN 6: Ngorongoro//Manyara (3 nights, 4 days) PTN 7: Ngorongoro//Tarangiire (3 nights, 4 days) PTN 8: Manyara//Ngorongoro//Serengeti (3 nights, 4 days) PTN 9: Manyara//Serengeti//Ngorongoro//Tarangire (4 nights, 5 days) PTN 10: The Serengetii Safari (5nights//6days) - Ngorongoro//Serengetii//Manyara Kilimanjario Climb

Any Comments

»	Provide us with any comments or information that will help us make the congress a success: