RESERVE YOU

Employee Evaluation Form (#11)

Full Name

Company / Organization Name

Phone/Mobile

Country

Table Type

Corporate Table

Individual Seat/s

Number of Tables Required

Expected Number of Guests

Guest Names (Optional)

Dietary Requirements

Accessibility Requirements

Preferred Payment Method

Direct Bank Transfer (Ksh or USD)

Pillars of Africa Till Number 789837

Woodside Paybill Business No. 199157 Ac. No. – Your Name

Credit or Debit Card for Individual Seat/s (https://paystack.com/buy/poa-youth-dinner-dhtneo)

I have read, understood, and agree to the Privacy Statement and Event Terms & Conditions of the POA Youth Awards.

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