Invitation or Co-Creation. REQUEST YOUR INVITE Below.

Engage in the African Local Summit. Be part of a growing community of Partners in Empowerment (PIE). To ensure optimal diversity of participants, registration to the African Local Summit is by invitation or co-creation -- via submission of a workshop, solution or presentation. To join as a delegate, please check "Delegate Invitation" (along with other interests) and complete the below form. Note: The Pricing Levels for 1st Tier is USD 50 --- 2nd Tier is USD 70. Once the (ct 150) First Tier spaces are full, 2nd Tier will begin until full. **Invitations with Registration Link will be emailed to applicants immediately upon request.

NOTE: Fields with Asterisk (*) are required for the form to be processed.

*Empowerment WORKS & African Local Summit keeps all subscriber info private. You may opt out any time.

First Name *
Last Name *
Email Address *
I am interested in: *		Special announcements & eNews Updates Organizational Program (or other) Partnership Offical Delegate Invitation Sponsorship & Donor Information Joining Volunteer Team (Local or Virtual)
Primary Sector of Interest *
Group Entity Name (If Org/Business)
What do you need to increase your (individual/ agency/ business) impact?
What would you like to most contribute to the success of others in this network?
Business Phone
Country
Zip (if in USA)
Website (if any)

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