PhALGA REGISTRATION FORM

CONFERENCE: 16th Annual National Conference on May 28-31, 2019 at Newtown Plaza Hotel, Baguio City
PROVINCE: TARLAC
LGU: CAPAS
CONTACT PERSON: ROLANDO T. DOMINGO
CONTACT NO.: 0947 893 4577
EMAIL ADDRESS: rtd_accountant@yahoo.com

REGISTRATION FORM
LIST OF PARTICIPANTS
NOTE: ● T-shirt size is limited to XS, S, M, L, XL, XXL

LAST NAME FIRST NAME M.I. POSITION LGU T-SHIRT SIZE CONTACT NUMBER PRC # EXPIRY DATE E-MAIL ADDRESS
1 DOMINGO ROLANDO T. Municipal Accountant Capas L 0947 893 4577 rtd_accountant@yahoo.com
2 GALANG LEAH Q. Management & Audit Analyst III Capas S 09326736949
3 Capas
4 Capas
5
6

NOTES
1 Registration can be done manually or on-line.
2 For manual registration:
A Properly accomplish this form. (Soft-copy of this form can also be downloaded in excel format at www.phalga.org.)
B Deposit your Registration Fees to the nearest BPI Branch under our account:
Philippine Association of Local Government Accountants, Inc.
Account No. 9300-0105-28

3 An e-mail reply-confirmation would be received for successful registration. Print a copy of the confirmation and attach the validated deposit slip for reference during the conference.
4 Deadline for pre-registration is on or before May 10, 2019.