Philippine Institute of Certified Public Accountants

THE NATIONAL ORGANIZATION OF CERTIFIED PUBLIC ACCOUNTANTS and PICPA Metro Manila Region

64th PICPA Annual National Convention

November 29 - December 2, 2009

Last Name

R E G I S T R A T I O N F O R M First Name Middle Name Nickname

Sex

CPA No.

Sector Address

Chapter

Region

Business, Company / Institution Affiliated with

Title/Position

Telephone No.

Fax No.

URL/Email address

REGISTRATION FEES Registration Fees are: Group registration on or before Sept 30, 2009 - Group of 20 persons P4,800.00 - Group of 10 persons P5,000.00 On or before October 31, 2009 P5,500.00 Thereafter P6,000.00 Foreign Delegates US$150
Accompanying person (Non-CPA) P4,500.00
NOTE: Please ensure that this form is clearly and completely

REMITTANCE
Registration will be valid only upon receipt of fully completed form and payment of the registration fee. Cash ________________ Check: Bank Name _______________________ Check No.________________________ Date of Check______________________ Others __________________ Payee should be: 64th PICPA Annual National Convention Deposit on line to PNB Mandaluyong Branch Current Account No. 415760100010 or BDO Mandaluyong Branch Saving Account No. 2810040946 Note: Please fax your deposit slip with your name to the Convention Secretariat @ Tel Nos. (632) 723-63-05; (632) 723-63 14
VENUE Hotel Intercontinental, Makati City ATTIRE Smart Casual

filled up.
CANCELLATION/REFUND will be entertained only until October 31, 2009, with administrative fee of 20% of paid registration fee. Please return or fax completed form to Convention Secretariat at PICPA Bldg., 700 Shaw Blvd., Mandaluyong City, Fax Nos. 0632-723-6305; 0632-7236314 or Email to picpa_64th_anc@yahoo.com. DATE Nov. 29 Sunday TIME 8:00 AM 5:00 PM 8:00 AM 5:00 PM 8:00 AM 5:00 PM 1:00 PM 7:00 PM 7:00 AM 10:00 PM 6:00 AM 12:00 NN 8:00 AM 5:00 PM 8:00 AM 12:00 NN

ACTIVITIES Registration Trade Exhibit Business Opportunities Seminar Chapter Presidents Meeting ANC Welcome Reception (By Invitation) Golf Registration Sectoral Forums - Commerce and Industry - Education - Government - Public Practice Opening of Regional & Trade Exhibit ANC Eucharistic Celebration PICPA March Opening Ceremonies National Awards Technical Session (TS) 1 (Plenary) Dinner and Fellowship TS 2 (Break-out Sessions) TS 3 (Break-out Sessions) TS 4 (Luncheon Meeting) TS 5 (Break-out Sessions) TS 6 (Break-out Sessions) Regional and Chapter Awarding Ceremonies Regional Night TS 7 (Tax Forum - Plenary) TS 8 (Luncheon Meeting) TS 9 (Plenary) Closing Plenary

Nov. 30 Monday

SMX, Pasay City Phil. National Bank H.O., Pasay City De la Salle University, Manila GSIS, Pasay City Bangko Sentral ng Pilipinas, Manila SMX, Pasay City Shrine of Jesus, Pasay City (beside SMX) Shrine of Jesus to SMX SMX, Pasay City SMX, Pasay City SMX, Pasay City SMX, Pasay City SMX, Pasay City SMX, Pasay City SMX, Pasay City SMX, Pasay City SMX, Pasay City SMX, Pasay City SMX, Pasay City Grand Ballroom, Manila Hotel Grand Ballroom, Manila Hotel Grand Ballroom, Manila Hotel Grand Ballroom, Manila Hotel
AT LEAST 20

Business Attire

1:00 PM 1:30 PM 1:30 PM 2:30 PM 2:30 PM 3:00 PM 3:30 PM 4:00 PM 4:00 PM 5:00 PM 5:00 PM 7:00 PM 7:00 PM 10:00 PM Dec. 1 Tuesday 8:00 AM 10:00 AM 10:00 AM 12:00 AM 12:00 NN 1:30 AM 1:30 PM 3:30 PM 3:30 PM 5:30 PM 5:30 PM 7:00 PM 7:00 PM 10:00 PM 8:00 AM 12:00 NN 12:00 NN 1:00 PM 1:00 PM 3:00 PM 3:00 PM 3:30 PM

Business Attire/ Filipiniana

Business Attire

Dec. 2 Wednesday

Business Attire

FOR INQUIRIES AND REGISTRATION:

ALDRIN M. CERRADO th Co-Chair, 64 PICPA ANC +632 894 83 86 +63917 894 83 86 JOSE C. CABALUM, JR. Liaison Director th 64 PICPA ANC 6333-3373885 6333-3378226 +63916-8286672 APHAT C. MARTINEZ, JR. th Co-Chair, 64 PICPA ANC +632 741 27 62 +63917 830 74 71 MARYDITH C. MIGUEL th Co-Chair, 64 PICPA ANC +632 984 81 46 +63918 984 81 46 VIOLETA J. JOSEF Chair, PICPA Metro Manila Region +632 723 63 13 +63917 841 00 38 ANTONIO P. TECSON National President, PICPA +632 723 63 13 +63918 991 22 78

CPE UNITS

SECRETARIAT FANNY MADRAGA +632 723 92 25 BETH PAGUIO +632 723 54 67 ADDRESS: PICPA Bldg., 700 Shaw Blvd., Mandaluyong City www.picpa.com.ph picpa_64th_anc@yahoo.com