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INDIVIDUAL MEMBERSHIP FORM

TEAM PHILIPPINES-NCR CHAPTER


New

Photo
1x1

Renewal
ANNUAL MEMBERSHIP FEE: P500.00

PERSONAL INFORMATION:
FULL NAME: _________________________________________________________
DESIGNATION/POSITION : ____________________________________________
ADDRESS: ___________________________________________________________
MOBILE NUMBER: _____________________ TELEPHONE NO.: _____________
FAX NO: ______________________________
EMAIL ADDRESS: ____________________________________________________
DATE OF BIRTH: _______________________ CIVIL STATUS: _______________
YEARS OF SERVICE IN THE SCHOOL/UNIVERSITY REPRESENTED: _______
EDUCATIONAL BACKGROUND:
COLLEGE/UNIVERSITY: _______________________________________________
DEGREE/COURSE: ____________________________________________________
GRADUATE SCHOOL: _________________________________________________
DEGREE/COURSE: ____________________________________________________
HIGHEST EDUCATIONAL ATTAINMENT: _______________________________
DEGREE/COURSE: ____________________________________________________
AREAS OF SPECIALIZATION (Ex. Events Management, Tour & Travel Operations, etc.)
______________________________________________________________________
For details, please contact Tel. No. 8515872/09163779304/0917-3791738 (Fax 8332358)
TEAM PHILIPPINES BANK ACCOUNT: 9001350386 RIZAL COMMERCIAL BANKING
CORP. (RCBC) Edsa-Taft Branch, Pasay City.

INSTITUTIONAL MEMBERSHIP FORM


TEAM PHILIPPINES-NCR CHAPTER
New

Renewal

ANNUAL MEMBERSHIP FEE: Php1,500.00


_______
_______

School
Establishment

NAME OF SCHOOL/ESTABLISHMENT:__________________________________________
DEPARTMENT/COLLEGE: ____________________________________________________
ADDRESS

: _______________________________________________________________

TELEPHONE: ______________________ FAX: ___________________________________


PROGRAM/DEGREE/COURSES OFFERED:______________________________________
____________________________________________________________________________
____________________________________________________________________________

OFFICIAL REPRESENTATIVE:________________________________________________
POSITION/DESIGNATION: ____________________________________________________

KEY COMPANY OFFICIALS:


NAME
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________

DESIGNATION
____________________________
____________________________
____________________________
____________________________
____________________________

_____________________________________
Signature over printed name of Representative

____________________________
Date

For details, please contact Tel. No. 8515872/09163779304/0917-3791738 (Fax 8332358)


TEAM PHILIPPINES BANK ACCOUNTS: 9001350386 RIZAL COMMERCIAL
BANKING CORP. (RCBC) Edsa-Taft Branch, Pasay City.

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