Membership AFRICA RISING UNLOCKING PROFIT PURPOSE & PARTNERSHIPS NETWORK(ARUP3N) MEMBERSHIP ONBOARDING FORM Home / Registration Form SECTION 1: MEMBER INFORMATIONFull Name / Organization Name(Required)Your Email Address(Required) Your Phone(Required)Registration / ID Number:Country of Operation:AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsSector / Industry:SECTION 2: MEMBERSHIP CATEGORYPlease select your preferred membership tier: Membership tier:Associate Member | Kes 5,000Business Member Startups | Kes 20,000MSMEs and Social Enterprises | Kes 50,000Corporate Member | Kes 100,000Premium Corporate Partner | Kes 500kInstitutional Patron | Kes 1M+SECTION 3: AREAS OF INTERESTPlease tick the areas that align with your interest: Trade & Investment Roundtable Climate & Green Growth Roundtable Innovation & MSME Roundtable Digital Trade, AI & SME Competitiveness The Deal Room Business Expansion - Scaling-up Training, Research & Insights Networking & Collaboration Opportunities SECTION 4: PAYMENT INFORMATIONSelect preferred mode of paymentM-PesaBank TransferOnline Payment via Credit/Debit Card & M-PesaTransaction Reference No:Transaction Date MM slash DD slash YYYY M-PESA PAYBILL: 400200 A/C NUMBER: 40055584BANK ACCOUNTS A/C NAME: EMINENCE GLOBAL PR FIRM LTD BANK NAME: CO-OPERATIVE BANK A/C NO: 01192650725800 BRANCH: LAVINGTON BRANCH SWIFT CODE: KCOOKENASECTION 5: DECLARATIONDeclaration(Required) I hereby confirm that the information provided above is true and accurate. I agree to abide by the Africa Rising UP3Network (ARUP3N) Code of Conduct and Membership Terms & Conditions.
