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    Reg Form

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    lalamante
    This registration form collects contact information and payment details for an event hosted by the Surigao Chamber of Commerce and Industry. It requests the registrant's name, company information, address, phone number, and email. It provides the regular and early registration fees, as well as payment options by cash, check, or bank deposit. It includes bank account details and instructions to send the deposit slip or check to the Surigao Chamber of Commerce office for confirmation of registration upon receipt of payment.

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    Reg Form

    Uploaded by

    lalamante
    10 views1 page
    This registration form collects contact information and payment details for an event hosted by the Surigao Chamber of Commerce and Industry. It requests the registrant's name, company information, address, phone number, and email. It provides the regular and early registration fees, as well as payment options by cash, check, or bank deposit. It includes bank account details and instructions to send the deposit slip or check to the Surigao Chamber of Commerce office for confirmation of registration upon receipt of payment.

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    reg form

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    This registration form collects contact information and payment details for an event hosted by the Surigao Chamber of Commerce and Industry. It requests the registrant's name, company information, address, phone number, and email. It provides the regular and early registration fees, as well as payment options by cash, check, or bank deposit. It includes bank account details and instructions to send the deposit slip or check to the Surigao Chamber of Commerce office for confirmation of registration upon receipt of payment.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    10 views1 page

    Reg Form

    Uploaded by

    lalamante
    This registration form collects contact information and payment details for an event hosted by the Surigao Chamber of Commerce and Industry. It requests the registrant's name, company information, address, phone number, and email. It provides the regular and early registration fees, as well as payment options by cash, check, or bank deposit. It includes bank account details and instructions to send the deposit slip or check to the Surigao Chamber of Commerce office for confirmation of registration upon receipt of payment.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    REGISTRATION FORM

    PROFILE
    Name
    (Mr./Ms./______)______________________________________________________________________
    Last Name

    First Name

    M.I

    Title/Position ________________________________________________________________________
    Company
    ________________________________________________________________________
    Business Address_______________________________________________________________________
    ________________________________________________________________________
    Phone Line
    ____________________Fax _____________________Email_____________________
    Business Line ______________________________________________________________________
    REGISTRATION FEE
    Regular Rate
    Early Payment Rate:

    Php 1,500.00
    Php 1,200.00

    Method of Payment
    Cash
    Check (Payable to Surigao Chamber of Commerce and Industry, Inc.)
    Check No. ______________________________ Check Date: _________________________
    Bank Deposit Details:
    Account Name: Surigao Chamber of Commerce and Industry, Inc.
    Branch: Metro Bank-Surigao City Branch
    Account Number: 105-3-105-171707
    Please send your deposit slip or check to:
    Surigao Chamber of Commerce and Industry, Inc.
    1st Floor, Management Building, Hotel Tavern Surigao
    Borromeo St., Surigao City
    Telefax: (086)826-7716
    Email: surigaocci@yahoo.com
    Company Name
    Address
    Telephone No.

    ________________________________________________________________________________________
    ________________________________________________________________________________________
    ________________________________________________________________________________________
    ____________________________________ Fax. No._____ ________________________________________

    ______________________
    Signature & Date

    Confirmation of registration upon receipt of payment.


    Feel free to photocopy this form for multiple registrations.

    THE SECRETARIAT
    PROVINCIAL GOVERNMENT OF SURIGAO DEL NORTE/ SURIGAO CHAMBER OF COMMERCE & INDUSTRY, INC.
    Telafax: (086) 8263814, (086) 8267716
    Mobile: 09399069600 or 09999948065
    Email address: surigaocci@yahoo.com, lalamante@gmail.com

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