EKOTALK: eKolor REGISTRATION FORM February 7, 2015 l 1:00 – 5:00 PM Kindly return this to Jam Erauda to jam.erauda@eccp.com or fax to 032 412 1194. Company Name: Complete Address: Company TIN: Contact Person: Telephone no:
Fax no:
E-mail: This is to confirm attendance of the following participants: I.ATTENDEES NAME
DESIGNATION
II. REGISTRATION FEE ECCP MEMBERS NON-MEMBERS
1,200 1,400
TOTAL NUMBER OF ATTENDEES TOTAL REGISTRATION FEES III. PAYMENT Direct Payment to ECCP Office (9:00 am-5:00 pm) DOST 7 Banilad S&T Complex, Gov. M. Cuenco Ave., Banilad, Cebu City
Direct Deposit to ECCP account Account Name: European Chamber of Commerce of the Philippines Account No.: (BPI) 1021-0241-43 Account No.: (HSBC) 010-000842-040 (Please email the deposit slip to jam.erauda@eccp.com to confirm payment.) NOTE: Pre-Registration is REQUIRED. Cancellation or Request for refund will be accepted if notification is given in writing at least 2 working days prior to the event, otherwise, full participation fees will be charged.