Oblate Missionary Center (OMC) Mangga St., Mapayapa I Subdivision, Quezon city Tel. Nos.

932-0201 ; 932-0182

RATES: (Please tick) ROOMS W/ AIRCON/TOILET & BATH:

(Individual)
For board & lodging which includes 3 meals 2 snacks 1,750.00 Add: Facilitators fee 1,000.00 Total 2,750.00 per person/day

RETREAT REGISTRATION FORM First Name: Last Name: Address:

Early Bird Discount

(Register 2 weeks before the Retreat) (Individual) Total...1,750.00 per person/day

Telephone: Home: Work: Mobile: Email Address: Gender: Male _____ Female

(2 persons in a room)
For board & lodging which includes 3 meals 2 snacks 1,450.00 Add: Facilitators fee 1,000.00 Total 2,450.00 per person/day

Early Bird Discount

(Register 2 weeks before the Retreat) (2 persons in a room) Total1,450.00 per person/day

Birth Date (DD/MM/YYYY) _____________________ Country of Birth:

ROOMS W/OUT AIRCON/TOILET & BATH:

(Individual)
For board & lodging which includes 3 meals 2 snacks ..850.00 Add: Facilitators fee ...500.00 Total. 2, 350.00 per person/day

Emergency Contacts: Name: Relationship: Phone: Mobile: Pre-existing Medical Condition/Allergies:

Early Bird Discount

(Register 2 weeks before the Retreat) (Individual) Total...1,350.00 per person/day

(2 persons in a room)
For board & lodging which includes 3 meals 2 snacks ..650.00 Add: Facilitators fee ..500.00 Total...2,150.00 per person/day

Early Bird Discount

KINDLY EMAIL OR FAX YOUR REGISTRATION FORM TO: francis.encabo@dtfconnet.com or niel.diestro@dtfconnet.com; or FAX to: 721-6618 or 722-4525

(Register 2 weeks before the Retreat) (2 persons in a room) Total1,150.00 per person/day
For Payments and Billing Inquiry OMI-OBLATE MISSIONARY CENTER DEPOSIT ACCT #: 3110 0055-97, BPI CALOOCAN BRANCH Pls. Contact: MS. EMY WEE AT 932-0182 OR 932-0201