Africa 2.0 Membership Application
Apply now
 
Thanks for your interest in joining.

What's your first name? *

 
What's your last name, {{answer_x32v}}?

 
What is your date of birth? *

 
Gender *


 
And what's your postal address?

 
Can you tell us about your background and profile in 100-150 characters?

 
Your telephone number?

Please include the country code
 
Business Telephone number

Please also include country code
 
Skype ID

 
Have you ever been involved in community work?


 
If yes, please specify *

 
How can Africa 2.0 help you achieve your ultimate goals? Please specify *

 
How would you rate your knowledge of Africa?






 
On a scale of 1 to 10, how would you rate your knowledge and familiarity with the Africa 2.0 Manifesto (Our Vision Africa)











 
What topics/areas are of interest to you from Africa 2.0's Vision Africa Manifesto

Africa 2.0 members are committing to advocate and mobilize their respective countries and various stakeholders in Africa and Worldwide around this Agenda under the strategic support of Africa 2.0. (Please select a maximum of 3)

 
What attracts you most to Africa 2.0? *

 
What contribution do you think you can make to Africa 2.0?

 
Our membership fee is $300 per year, payable after your membership has been accepted. We'll discuss what this includes when we see you.

Thanks for completing this typeform
Now create your own — it's free, easy & beautiful
Create a <strong>typeform</strong>
Powered by Typeform