CONFIRMATION FORM

Name/s: 1.)
2.)
3.)
Position:
Organizatio
n
Email:
Mobile No.
Telephone
No.

Please tick one:

I would like to confirm my attendance to the
conference

I am sorry but I regret that I could not attend

I could not attend but below is/are my

representative/s:
1.___________________________________
2.___________________________________
3.___________________________________

Complete this form and return by fax or email to AYN Secretariat:

Fax: 753-21-50 Attention Rior Santos or maricelorde1017@ymail.com

With assistance from: