Download as xlsx, pdf, or txt
Download as xlsx, pdf, or txt
You are on page 1of 2

TBTKTigum Bol anon sa Tibuok Kalibutan

MA. ELIZABETH V. GARCIA, Chairperson , 64 Old Orchard Court, Cedar Grove NJ 07009-1271

PHONE: (973) 393-8932 EMAIL: kinaswertihan@hotmail.com .


MARIQUIT D. OPPUS , Over-all Coordinator WEBSITE: www.tbtk.us

REGISTRATION FORM

REGISTRANT :
NAME :

_____________________________________

ADDRESS :

_____________________________________

HOME TEL. NO.


CELL NO .
E-MAIL ADDRESS :
ORGANIZATION :
CONTACT PERSON
IN CASE OF EMERGENCY :
PHONE :

_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________

NO. OF REGISTRANTS :_______________________________________________


NO. OF TICKETS FOR MRS. BOHOL INTERNATIONAL : ____________________
NO. OF TICKETS FOR MISS
MISS
BOHOL
BOHOL
INTERNATIONAL:
INTERNATIONAL __________________
____________________
TOTAL AMOUNT DUE :

REGISTRATION FEE:
_____________
_____________
_____________

Please

( Submission Deadline
US $ 15.00 / PERSON
Attending
Attending
Attending

: March 16,2012 )
________ Not Attending
________ Not Attending
________ Not Attending

make checkpayable to :
TBTK
c/o
CORA A. SIMSIMAN
18 Albert Terrace
Bloomfield, New Jersey 07003

TICKETED EVENTS :
MRS. BOHOL INTERNATIONAL
MISS BOHOL INTERNATIONAL

________________

Kalibutan

J 07009-1271

w.tbtk.us

ORM

ADDITIONAL

REGISTRANTS:

____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________

PAYMENT:
_________________________
_________________________
_________________________
US $_____________________

Inclusions:
Visit to Malacanang Palace on May 8, 2012
Welcome Night on May 10, 2012
TOBAW Award Night on May 13, 2012

May 12, 2012. @ US $ 25.00 / person


May 19, 2012. @ US $ 25.00 / person

You might also like