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PHILIPPINE INSTITUTE OF ARCHITECTS

86th Annual National Convention


"Reinforcing the Future - A Recall on History's Great Foundation"
Garden Orchid Hotel
Gov. Camins Avenue, Zamboanag City
February 20 - 23, 2019

REGISTRATION FORM PIA Section


Name Date of Birth
Profession Age
Company/Firm PRC Reg. Number
Home Address
Office Address
Home Phone Number Mobile Num 1
Office Phone Number Mobile Num 2
E-Mail Address PIA Section
Accompanying Persons
Relationship with delegate
Type of Membership Fellow Corporate Associate Jr. PIA

REGISTRATION FEE for Fellow, Corporate, Associate, & Jr. PIA Deadline of Registration
PhP 4,000.00 Early Bird Special (Members in Good Standing) on or before December 28, 2018
PhP 4,500.00 Fellow, Corporate in Good Standing, & Associate January 15, 2019
PhP 8,000.00 Members NOT in Good Standing January 15, 2019
Inclusive of: 3Days/3Nights Hotel accommodations (Feb.20-22) , meals & snacks, convention kit, t-shirt, convention
activitites.
Exclusive of: Air, sea & land transportation to and from Zamboanga City
Sta. Cruz Island Tour: Check to avail tour
P1,000.00 Tour Fee (February 23, 2019 • 7:00 A.M. - 2:00 P.M.)

REGISTRATION FEE for Accompanying persons of PIA Members Deadline of Registration


PhP 8,000.00 Early Bird Payment on or beforeDecember 28, 2018
PhP 10,000.00 Regular Payment January 15, 2019
Inclusive of: Meals & snacks, Convention kit, and participation in all Convention activities.
Exclusive of: Air, sea & land transportation to and from Zamboanga City
REGISTRATION FEE for Non-PIA Members (Seminars Only) Deadline of Registration
PhP 3,000.00 Regular Payment January 12, 2019
Inclusive of: Meals & snacks on Day 2, Seminars, Certificate of Attendance.
Exclusive of: Accommodations, transportation, convention activities other than seminars on Day 2 & 3
ROOM ACCOMMODATIONS: Quad Sharing
Prefer rooming with:
1. 2.
note: The Accommodation Committee reserves the right to reassign rooming assignments if and when necessary.
SOUVENIR T-SHIRT SIZE PREFERENCE:
XS S M L XL XXL XXXL FS

Account Name Philippine Institute of Architects Zamboanga Section


Please make all payments
Account Number 2111-0211-07
payable to:
Bank/Branch BPI Main Branch - N.S. Valderoza St., Zamboanga City
note: Please e-mail copy of deposit slip to the 86 th Convention Committee upon payment (see e-address details below).
For inquiries, get in touch with the National Secretariat or the 86th Convention Committee (see address details below).
NATIONAL SECRETARIAT PIA 86th National Convention Committee

Philippine Institute of Architects, PIA Center, #65 East Capitol Drive, Philippine Institute of Architects, Gov. Ramos Ave., Sta. Maria,
Barrio Kapitolyo, Pasig City, Philippines Zamboanga City

Telefax (02) 634-1762 Telephone (062) 992-1732


Mobile No. 0997 900 0680/ 0908 933 4625 (Olive D. Rayo) Mobile No. 0997-279-1567 (Raymund delas Peñas)
e-Mail piaarchitects@yahoo.com 0916-323-5737 (Mark Bagor)
0917-108-0041 (Aldrin Rivera)
0926-777-6475 (Ailleene Santiago)
e-Mail piazamboangasection@yahoo.com

COMMENTS & REMARKS SIGNATURE

sign over printed name


MEDICAL OR PERSONAL PROHIBITIONS

date signed

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