Conference Delegate's Pre-Registration Form
Secretariat: LEVERAGE INTERNATIONAL (CONSULTANTS) INC.
Tel. (632) 8810-1389; (632) 8818-6828 Fax: (632) 8810-1594 E-mail: leverage@leverageinternational.com
Company:
Contact Person:
Designation:
Address:
Tel:
E-mail:
Please register the following delegate/s:
Full Name
Designation
E-mail Address
|
REGISTRATION FEE PER DELEGATE
|
Philippine
Residents
|
Non-Philippine
Residents
|
| Regular |
Php 16,500
|
US$ 625
|
| National Government/Supporting Organizations/Exhibitors |
Php 10,500
|
US$ 470
|
DISCOUNTS:
| • Special Package for 5 or more participants from the same company: 20% discount |
| • Past PROTECT Delegates: |
|
Philippine Residents - Php 14,500 per delegate
Non-Philippine Residents - US$ 565 per delegate
|
The registration fee includes full participation at the Conference, conference materials, lunch, coffee breaks and networking cocktail.
We enclose our cheque/bank draft for the sum of Pesos
Please note:
- Full payment is to be made along with the registration.
- All payments are to be made payable to Leverage International (Consultants) Inc.
- The registration can be made by way of this form or similar letter.
Authorized Signatory
DATE
Please reply to: E-mail: leverage@leverageinternational.com or Fax: (632) 810 1594
Event website: http://protect.com.ph/