MEMBERSHIP APPLICATION/ RENEWAL FORM
Name: *
Profession: *
Specialization:
Organization:
Date:
Contact details
POB:
Postal Code:
Town:
Country:
Email:
Mobile:
Membership categories & annual subscription fees (kindly tick your choice of membership and payment mode)
Annual Member
Kshs 2,000
Life Member
Kshs 20,000
Organizational member
Kshs 25,000
Annual Retainer fee (for Life members)
Kshs 1,000
Payment Mode
Cash:
Cheque:
Received by:
Sign:
Please return duly filled form to: ReSok Secretariat Regent Court Block D, Suite D6 Argwings Kodhek Road, Hurligham PoB 27789-00506 Nairobi Email: info@resok.org
