Philippine International Forum
20th Anniversary Conference
Registration Form

Please confirm not later than January 20, 2004.

Name :_____________________________Name for name tag:_________________

Organization/s ( for volunteers, please include both your sending organization and the organization or institution you are working with ):
___________________________________________________________________
___________________________________________________________________

Office Address : ______________________________________________________
___________________________________________________________________

Mailing
Address : ___________________________________________________________

Telephone : ________________Fax :_____________E-mail : __________________

Food Restriction/s : ____________________________________________________

I will attend the PIF members meeting on February 22: Yes/No

***Registration fee : P1,700.00 which covers food, accomodation for three nights, the conference kit and 20th anniversary celebration.
***Membership fee -P200.00

____ Payment enclosed ( please address check to Philippine International Forum)
____ Payment will be given upon registration

For Inquiries/Confirmation : Please call or fax us at (02) 928-8636
E-mail : [email protected]

Please return this form as soon as possible to :
Philippine International Forum
2nd flr. NCCP Building
879 EDSA, Quezon City