Copy this form to
your e-mail, fill in and send to the address below:
INSTITUTIONAL
Institution : ..................................................................................................................................
..................................................................................................................................
..................................................................................................................................
Address : ...................... ...........................................................................................................
..................................................................................................................................
..................................................................................................................................
Tel :
................................................... ........Fax:
...........................................................
E-mail : ..................................................................................................................................
Contact Person: ...........................................................................................................................
Date: ..................................................................................
INDIVIDUAL
Name
: ...................................................................................................................................
Address : ....................................................................................................................................
....................................................................................................................................
....................................................................................................................................
Tel : ..............................................................
Fax: .........................................................
E-mail : ...................................................................................................................................
Institution: .......................... ........................................................................................................
...................................................................................................................................
....................................................................................................................................
Position
: ....................................................................................................................................
Date : .....................
................................................
Send
application to:
Mrs. Elizabeth T. Pulanco, Convenor
Philippine Baptist Theological Seminary
P.O. Box 7, 2600 Baguio City, Philippines
Phone: +63-74-4457490
Fax: +63-74-3002863
E-mail:
[email protected]
Or
Ms. Hilda V. Putong, Secretary ([email protected])
hildaputong-march2003
|