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Conference Delegate's Pre-Registration Form

Secretariat: LEVERAGE INTERNATIONAL (CONSULTANTS) INC.
Tel. (632) 810-1389; 818-6828 Fax: (632) 810-1594 E-mail: leverage@leverageinternational.com
Company:
Contact Person:
Designation:
Address:
Tel:
Fax:
E-mail:

There will be one break out session per major classification as follows:

    A – Critical infrastructure     B – Manufacturing     C – Services     D – Public orders and defense


Kindly indicate which sector each of your delegates will attend.

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:
Past PROTECT Delegates:
 Philippine Residents - Php 14,500 per delegate
 Non-Philippine Residents - US$ 565 per delegate
Group Discount: One additional complimentary seat for every 3 paying regular delegates from the same company
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:
  1. Full payment is to be made along with the registration.
  2. All payments are to be made payable to Leverage International (Consultants) Inc.
  3. 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/