Name *
Phone Number *
Email Address *
Area of residence *
What is your profession? * Optometrist Ophthalmologist Ophthalmic Nurse OCO Other
Which sessions do you plan on attending? * Virtual Physical
Do you have any Presentation? * Yes No
If YES, please Describe briefly what kind of Presentation you have.
Choose your Category * Physical Attendance For OAK Members and Payment Before 26th Sept (Kes. 8,000), Payment on 27th Sept. will be (Kes. 10,000), Virtual (Kes. 4,000) Physical Attendance for Allied members/Associates members/Honorary members and Payment Before 26th Sept (Kes. 8,000), Payment on 27th Sept. will be 27th Sept. (Kes. 10,000), Virtual (Kes. 4,000) Physical Attendance for Non-members/Pharmaceutical Company representatives Before 26th Sept (Kes. 8,000), Payment on 27th Sept. will be 27th Sept. (Kes. 10,000), Virtual (Kes. 4,000) Physical Attendance for East-Africa Delegates and Payment Before 26th Sept (Kes. 8,000), Payment on 27th Sept. will be 27th Sept. (Kes. 10,000), Virtual (Kes. 4,000) Physical Attendance for International Students and Payment Before 26th Sept (Kes. 8,000), Payment on 27th Sept. will be 27th Sept. (Kes. 10,000), Virtual (Kes. 4,000) Physical Attendance for Students and Payment Before 26th Sept (Kes. 8,000), Payment on 27th Sept. will be 27th Sept. (Kes. 10,000), Virtual (Kes. 4,000)
MPESA PAYMENT CODE *
