The African Investment Corporation

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AfricTalents USA - Recruiting Managers for Africa

The African Senior Executive Leadership Program

Registration Form

Select Session:

Title:

Last Name

First Name:

Gender:
Female Male

Industry:

Company Name

Work Address:

Work Address Line 2:

City:

Province:

Work Experience:

Job Title:

Employment Status:

Tel:

Mobile:

Email:

Payment Information:
ALL PAYMENTS MUST BE RECEIVED IN FULL AND ARE NON-REFUNDABLE.
Please indicate below how you will be paying the $150 application fee. (amount includes certification fee)

Enclosed Check/Money Order (Payable to The African Investment Corporation)
Wire Transfer (use the following information)
Receiving Bank: Citizens Bank, F.S.B
8001 Wisconsin Avenue
Bethesda, MD 20814
U.S.A

ABA#: 254 070 116 (Routing Number)
Account Number: 176 671 78 (Account Number)
THE AFRICAN INVESTMENT CORPORATION

Send all completed Applications to:
The African Investment Corporation
2 Bethesda Metro Center 8th Floor
Bethesda, MD 20814
Phone: (240) 893-4813
Fax: (301) 961-0823
Email: danagho@africaninvestcorp.com

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