Register today! FUSION CONFERENCE REGISTRATION FORM

1. 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, 2012
Please make your payments to any Philippine National Bank (PNB) branches.
hilippine
ACCOUNT NAME ACCOUNT NUMBER
ADAMSON UNIVERSITY SA#369496000032
Send us a copy of the deposit slip via email or fax.
Register Today!
Kindly fill up this form and send to rramos@adamson.edu.ph 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/,
rramos@adamson.edu.ph. Thank you.