African Distance Learning Association Profile Form




SIMPLY FILL OUT THE FOROM TO GET YOUR  E-LEARNING Africa CODE FOR REGISTRATION DISCOUNT

Welcome to ADLA Profile Form. After you fill out this form, you will be contacted and you will obtain your CODE for discount to register for E-Learning Africa 2009




ADLA PROFILE

Title 
First name*
Last name*
  Affiliation/organization*
Phone*
Fax 
Email*
City/Town*
State/Province 
Country*
Zip/Postal Code*

Where are you in your Higher Education Career