EKITI ASSOCIATIONS IN NORTH AMERICA (EKAINA)
P.O. BOX 224872, DALLAS, TX 75222-4872
REGISTRATION FORM - ASSOCIATION
3RD INTERNATIONAL CONVENTION, JAMAICA, NEW YORK
AUGUST 20 – 21, 2004
Name of Ekiti Association: __________________________________________________________
Association’s Mailing Address: ______________________________________________________
________________________________________________________________________________
Association’s Email Address: ________________________________________________________
Association’s Website Address: ______________________________________________________
Number of Association members attending this Convention: __________
Information about Association’s official representatives attending Convention:
|
NAME (first, Last) |
TITLE |
TELEPHONE NO. |
EMAIL ADDRESS |
EKAINA is a voluntary non-profitable socio-cultural organization, committed primarily to the welfare of her member associations and her individual members all over North America and generally to the development of Ekiti State in Nigeria.
By my signature below, I confirm that all the persons listed above have been chosen by my association as the official representative at this Convention. That the information provided in this registration form is accurate to the best of my knowledge. That all representatives listed above agree to regulate our conducts and relationship with other Convention attendees. That if we become disruptive, we might be asked to leave the Convention either as a group or as individuals.
_______________________________________________________________________
Assoc. President’s or Leader of Delegation’s name and signature
Today’s Date: _____________________