SayPro Monthly February SCSPR-75 Event Registration Form
Event Title: SCSPR-75: Empowering Community Leaders Through Strategic Partnerships
Date: February 25th, 2025
Location: SayPro Community Leadership Center, Virtual & In-Person Hybrid Event
Participant Information
Please complete the following details to register for the event.
Full Name:
[ ] Mr.
[ ] Mrs.
[ ] Ms.
[ ] Dr.
First Name: __________________________
Last Name: __________________________
Job Title/Position:
Organization Name:
Organization Type (Please select one):
[ ] Community Organization
[ ] NGO
[ ] Corporate Partner
[ ] Government Agency
[ ] Academic Institution
[ ] Other: ________________________
Contact Information:
- Email Address: __________________________
- Phone Number: __________________________
- Address:
Street Address: __________________________
City: __________________________
State/Province: __________________________
Zip/Postal Code: __________________________
Country: __________________________
Event Participation Mode
Please select your preferred event participation mode:
[ ] In-Person
[ ] Virtual
Dietary Restrictions (If applicable)
[ ] Vegetarian
[ ] Vegan
[ ] Gluten-Free
[ ] Other: ________________________
Payment Information
Registration Fee
- In-Person Participation: $150
- Virtual Participation: $75
Payment Method
Please select your preferred method of payment:
[ ] Credit/Debit Card
[ ] Bank Transfer
[ ] PayPal
Card Number (if applicable): __________________________
Expiration Date: __________________________
CVV: __________________________
OR
Bank Transfer Details:
Bank Name: __________________________
Account Number: __________________________
Routing Number: __________________________
Additional Information
Are you interested in attending any of the following workshops? (Please select one or more)
[ ] Workshop 1: Fundraising and Resource Mobilization for Partnerships
[ ] Workshop 2: Sustainability and Scaling – Building Long-Term Partnerships
Would you like to receive updates on future SayPro events?
[ ] Yes
[ ] No
How did you hear about this event? (Optional)
[ ] Email
[ ] Social Media
[ ] Website
[ ] Word of Mouth
[ ] Other: ________________________
Terms & Conditions
By submitting this registration form, you agree to the following terms:
- Payment is required to confirm your registration.
- Cancellations made before February 15th, 2025 will receive a full refund. After this date, no refunds will be issued.
- In case of cancellation due to unforeseen circumstances, SayPro reserves the right to change the event format or reschedule it.
Submit Registration
Please review your details before submitting.
Once submitted, you will receive a confirmation email with your registration details and payment instructions.
Submit Form
[ ] I confirm that the above information is accurate and I agree to the terms and conditions.
Thank you for registering for SCSPR-75! We look forward to your participation and to a successful event.
This event registration form captures essential participant details, payment information, and preferences for the SCSPR-75 event, ensuring a smooth and efficient registration process for both in-person and virtual attendees.
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