Fr. Leandro Montañana, C.M. Library 900 San Marcelino St., Ermita, Manila Telefax No. (+632)524-8038 Tel. No. (+632)524 (+632)524-2011 local 131 CONFERENCE REGISTRATION FORM 2-day National Conference on “FUSION ‘13: FUSION NEGOTIATION POWER SKILLS & LIBRARY SERVICES MANAGEMENT” October 18-19, 2012 8:00 AM to 5:00 PM OZ Audio-Visual Room, Ozanam Building, Adamson University Visual 900 San Marcelino Street, Ermita, 1000 Manila, Philippines rmita,SURNAME FIRST NAME MIDDLE INITIAL POSITION/JOB TITLE INSTITUTION/AFFILIATION MAILING ADDRESS OFFICE TELEPHONE NUMBER TELEFAX NUMBER MOBILE NUMBER PRC LICENSE NUMBER EMAIL ADDRESS I will pay conference registration fee of Php3,500.00 on site. I will deposit conference registration fee of Php3,500.00 before October 18, 2012Please make your payments to any Philippine National Bank (PNB) branches. hilippineACCOUNT NAME ACCOUNT NUMBER ADAMSON UNIVERSITY SA#369496000032Send us a copy of the deposit slip via email or fax.Register Today!Kindly fill up this form and send to email@example.com or fax to Ms. Marives Pagaran at (+632)524-8038 8038.For other inquiries, click : http://libraryconference.wordpress.com/fees/ text @ 09187318010 or e-mail ference.wordpress.com/fees/,firstname.lastname@example.org. Thank you.