ICML + AHILA Congress Gala Evening Registration Form

ICML + AHILA Congress Gala Evening - Registration Form

17 March 2022

Please complete this registration form to confirm your attendance to the ICML + AHILA 2022 Congress- Gala Evening.

The Gala dinner is complimentary for congress all in-person delegates; all those who aren’t congress delegates but wish to attend should contact Ms. Amanda Makwangwaidze at amanda@itoca.org before Monday 14th March 2022.

The ICML+AHILA 2022 Congress Gala Dinner will take place at the Protea Hotel Fire and Ice on the 17th of March 2022.

It will be a formal dinner environment with an African flair. Live show performances and music will be accompanying the great dishes that will be served.

The dinner will be relaxed yet elegant occasion for networking amongst medical librarians, other health information professionals, academics, researchers, and others from related disciplines

Please contact Ms. Chiedza Manuel at chiedza@itoca.org if you have any questions.

The deadline for registrations is 14 March 2022

Thank you!

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* 1. Please supply your contact details

Name

Institution

City/Town

Country

Email Address

Phone Number

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* 2. Gender

Male

Female

I prefer not to say

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* 3. Are you registered to attend the upcoming ICML + AHILA congress?

Yes

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* 4. Have you paid the registration fees to attend the ICML + AHILA congress?

Yes

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* 5. Will you be attending the Gala Evening?

Yes

Maybe

ICML + AHILA Congress Gala Evening Registration Form

Question Title

* 1. Please supply your contact details

Question Title

* 2. Gender

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* 3. Are you registered to attend the upcoming ICML + AHILA congress?

Question Title

* 4. Have you paid the registration fees to attend the ICML + AHILA congress?

Question Title

* 5. Will you be attending the Gala Evening?

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* 6. Please state if you have any special dietary requirements/allergies