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FOR PREPAID ONLY

REGISTRATION FORM

Mr. / Ms:_______________________________________________________ Nickname: _____________________________

B-day: ______________ Position: ___________________________________LGU: _________________________________

Address:_______________________________________________________________________________________________

Tel. No. ______________________ Fax:_____________________ E-mail Address:_________________________________

Cell. No.: _____________________ Name of City/Mun. Mayor/Governor: ________________________________________

Participant’s Signature: ______________________

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Note: Please email the deposit slip together w/ the registration form, 1 registration form per pax For other inquiries, --
please contact Ms. Flor Guardiano as follows: Tel. No. 8-441-1498 ; Smart 09393363759 ; E-mail Address : --
winph1987@yahoo.com , fb account Win Phil --
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FOR PREPAID ONLY

REGISTRATION FORM

Mr. / Ms:_______________________________________________________ Nickname: _____________________________

B-day: ______________ Position: ___________________________________LGU: _________________________________

Address:_______________________________________________________________________________________________

Tel. No. ______________________ Fax:_____________________ E-mail Address:_________________________________

Cell. No.: _____________________ Name of City/Mun. Mayor/Governor: ________________________________________

Participant’s Signature: ______________________

Note: Please email the deposit slip together w/ the registration form, 1 registration form per pax For other inquiries,
please contact Ms. Flor Guardiano as follows: Tel. No. 8-441-1498 ; Smart 09393363759 ; E-mail Address :
winph1987@yahoo.com , fb account Win Phil
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
FOR PREPAID ONLY

REGISTRATION FORM

Mr. / Ms:_______________________________________________________ Nickname: _____________________________

B-day: ______________ Position: ___________________________________LGU: _________________________________

Address:_______________________________________________________________________________________________

Tel. No. ______________________ Fax:_____________________ E-mail Address:_________________________________

Cell. No.: _____________________ Name of City/Mun. Mayor/Governor: ________________________________________

Participant’s Signature: ______________________

Note: Please email the deposit slip together w/ the registration form, 1 registration form per pax For other inquiries,
please contact Ms. Flor Guardiano as follows: Tel. No 8-441-1498 ; Smart 09393363759 ; E-mail Address :
winph1987@yahoo.com , fb account Win Phil

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