<p> Kenya Association of Fundraising Professionals MEMBERSHIP REGISTRATION FORM PLEASE NOTE - Membership year runs every 12 months upon application Membership to KAFP is NOT transferable.   I wish to apply for membership of KAFP as: Regular Member Group Member Please print clearly Personal & occupation details: First Name: Surname: Title (Mr/Mrs/Ms, etc): ID Number: Business Address: Postal Code:</p><p>Home Address: Postal Code:</p><p>Postal Address: Postal Code:</p><p>Contact Numbers Office Tel: (0 ) Fax: (0 ) Cell #: Email: (please print clearly)</p><p>Employer: NGO Reg number: Organisation’s Website: (If applicable) Legal Structure of INGO NGO Trust Other (if applicable) Organisation: (See next page if employed by Fundraising Company/Consultancy/Self-employed) Position title: Period of service: Have you undertaken Name of educational  Yes  No Fundraising training? institution: Fundraising Profile Job Title Brief Job Description</p><p>Fundraising experience: Previous Positions held: Organisation: Period of service:</p><p>Other experience: (Attach your CV separately) Recommendation by Employer (to be completed by the Organisation where applicant is an employee*)</p><p> I declare that the information submitted by the applicant is true and correct.</p><p>Advancing Ethical and Effective Fundraising Signed: Date: (Director/Chairperson/Trustee) Name of Director/Chairperson/Trustee:</p><p>Postal Address: Tel #: Fax #: Cell # * Self-employed persons please complete the section below Employee of Fundraising Company/Consultancy/Self-employed (This section only to be completed if applicable)</p><p>Name of business </p><p>Self-employed  Yes  No Summary of main fundraising services offered: Organisation: Contact Name Telephone #: Organisations for which 1 1 1 funds were raised in the past: 2 2 2 3 3 3</p><p>Certification and Formal Application * Please refer to the Code of Professional Ethics before signing.</p><p>I hereby* certify that: a) My main remuneration is not derived from commission payments or a percentage of funds raised b) I have read, understand and undertake to observe and abide by the Code of Professional Ethics c) I hereby apply for Membership to the Kenya Association of Fundraising Professionals </p><p>Signature of applicant: Date: MEMBERSHIP CATEGORIES Registration Annual Renewal</p><p>[1] Registration Ksh. 10,000 Ksh 5,000</p><p>[2 - 5] Registration Ksh. 8,000 (per member) Ksh 4,000 (per member) Ksh 3,000 (per member) [6 - 10] Registration Ksh. 6,000 (per member)</p><p>PAYMENT OPTIONS Please note: Membership NOT valid until full payment is received.</p><p>ACCOUNT NAME Kenya Association of Fundraising Professionals ACCOUNT NUMBER 10011200000540 BANK/BRANCH Consolidated Bank, Koinange Street. Nairobi, Kenya LIPA NA MPESA PAYBILL NO: 949 732 </p><p>Advancing Ethical and Effective Fundraising</p>