Circular2013 eccp 35th anniv regform

Page 1

Presents

European MASQUERADE

th

BALL

35 Anniversary REGISTRATION FORM

(Please fax back to (632) 845 1395 / 759-6690 ATTENTION TO Ms. ANNA RIVERA or email at anna.rivera@eccp.com

ECCP MEMBER - Php3,000

ECCP NON-MEMBER Php3,500

Company Name: Complete Address: Company TIN: Contact Person: Telephone no:

Fax no:

E-mail:

PARTICIPANTS NAME DESIGNATION EMAIL

Reservations not cancelled within 24 hours on or before the event will be billed full cost.


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