Sponsorship Enquiry Form

Are you Interested in sponsorship at Africa Electricity 2012? Please complete the below form to ensure that we contact you to discuss the opportunities and provide you with the various options to suit your preference/budget.

Priority Code

Email Address *

Title

First Name*

Last Name *

Company Name *

Job Title *

Company Address1*

Company Address2

PO Box/Post Code/Zip Code *

City *

Country *

Mobile
(Please begin with a ‘+’ symbol and include country and city code)

Phone Number*
(Please begin with a ‘+’ symbol and include country and city code)

Fax Number
(Please begin with a ‘+’ symbol and include country and city code)

Website

Please indicate your sponsorship budget US$

Please let us know what kind of sponsorship item/package you would be interested in

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