REGISTRATION INFORMATION
Name: ______________________________________________ Age: _______________
School: _________________________________________________________________
School Address: __________________________________________________________
School Contact No.: _______________________________________________________
Name of Student Council/Government: _________________________________________
Your Position: ____________________________________________________________
Your Mobile/Landline No.: __________________________________________________
Your Email Address: _______________________________________________________
YES. I shall attend the 2012 PHESGLTP.
Payment: _________________________________ Date: __________________________
PLEASE SEND THIS REGISTRATION INFORMATION WITH YOUR DATA TO:
cyln_caraga@yahoo.com.ph iydap@yahoo.com or fax to 085. 815. 1361
NOTES:
1. Deposit payment to:
Account Name: ROTARY CLUB METRO BUTUAN MPC
Account No.: 189 - 1370 - 919
Bank Name: CHINA BANK
Bank Branch: BUTUAN CITY
2. The Rotary Club International Metro Butuan MPC is the financial in-charge of the 2012 PHESGLTP.
3. Once your payment is transferred, please send us the Transfer Receipt or Deposit Slip or any equivalent instrument for monitoring purposes. Send it to us either through fax, scanned doc and email, and or regular mail.
4. Discount will apply base on the actual date of transfer of payment.
February 6 – February 29 Php 5, 000. 00
March 1 – March 30 Php 5, 500. 00
April 1 – April 15 Php 5, 800. 00
April 15 – May 5 Php 6, 000. 00
February 6 – February 29 Php 5, 000. 00
March 1 – March 30 Php 5, 500. 00
April 1 – April 15 Php 5, 800. 00
April 15 – May 5 Php 6, 000. 00
Should you have query, please contact us:
The Secretariat
Tel.: 085. 346. 9842 Fax: 085. 815. 1361
Mobile: 0918. 4795. 262, 0927. 2323. 219
Email: cyln_caraga@yahoo.com.ph or iydap@yahoo.com
Tel.: 085. 346. 9842 Fax: 085. 815. 1361
Mobile: 0918. 4795. 262, 0927. 2323. 219
Email: cyln_caraga@yahoo.com.ph or iydap@yahoo.com
