REGISTRATION Page

  

First Name: 

Last Name: 

Name of LOM 

  

Address 

Region    Area   

Your Email Address: 

Contact Number 

Senator Number (If applicable) 

Position in LOM, NOM, or JCI 

Arrival Time and Date 

Carrier Name                

  

 2009 LOM Presidents'  

Mid-Year Academy

  

May 16-17, 2009

REGISTRATION   

Fee

PhP 1,500.00

Inclusions

Overnight Accomodation (May16), Meals (May16-17), Skyride, Evening Fellowship, Beach Outing, Water Rides/Fun, Shirt and Kits

Deadline 

May 8, 2009 (to get customized shirt and kit)

DEPOSIT ACCOUNT DETAILS:  

Account 

Current

Number

268-800-5204

Bank 

BDO Cebu F. Gonzales Branch

SEND DEPOSIT CONFIRMATION TO: 

Fax 

032-3462791 / Attn: Anabel Juarez

Email 

jcchriscamba@yahoo.com.ph

marty.macariola@aboitiz.com

FOR INFORMATION, CONTACT:

Chris Camba

0917.8JCICBU

 

@ 2009 Mennen Aracid