Registration Form This form may be reproduced. Please fill out and send/fax copy.
Date: _______________________________
Name: ______________________________
Home Address:
____________________________________
____________________________________
Institution:
____________________________________
____________________________________
Office Address:
____________________________________
____________________________________
____________________________________
Position:_____________________________
Tel. No.: ___________Fax No. __________
Email: ______________________________
Please register me as PARTICIPANT:
Live-In (P4,000)
Live-Out (P3,500)
Accompanying Person (P3,000)
__________________________
Signature
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