conference registration membership form final_mbgatch_nov 2
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PART 1: REGISTRATION INFORMATION
School: Address: Chapter
EXHIBITOR: ☐P100.00 JOINING FEE FOR STUDENT VENTURE TEAM ☐P200.00 PER SCHOOL JOINING FEE ☐SPONSOR COMPANY (PER PACKAGE) ☐NOT APPLICABLE1. STUDENT/TEAM Exhibition: Per Student Team/Company: Scaled Model of Prototype Displays ; Company/Product Portfolio / with 1-2 Minute AVP 2. SCHOOL Exhibition: Displays of School Program/Courses/Brochure/ with 1-2 Minute AVP3. SPONSOR/PARTNER COMPANY Exhibition: Displays of Brochures/ Product Information/Tarp /Give away (For Arrangement) SUBMISSION DEADLINE OF SOFT COPY OF PORTFLIO/S & AVP: JANUARY 4, 2013; SCALED PROTOTYPES OR PRODUCT MODELS FOR DISPLAYS MAY BE BROUGHT ON CONFERENCE DAYPLEASE CHECK: ☐ ENEDA Member☐ YES STUDENT Member
☐ EDUCATOR (Non ENEDA-member)☐ STUDENT (Non YES-member)
☐ALUMNI / BS Entrepreneurship /or Business☐Non-academic/practitioner/ friends/supporter
☐ With Paper Submission ☐ Title:Surname First Name/M.I. E-mail C/phone; Landline
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PART 2: A. Conference Fees: For Day 1 & 2 Only: Registration; ID; Program: Kit; Certificate; Meals: Day 1: 1 pm snack; 1 Dinner; Day 2: 1 am/1pm snacks; 1 lunch; 1 dinner); Day 3: Explore Your Own Memorable Iloilo or Guimaras Experience /This is at own expense; (*The Guimaras Trip is being arranged with the Guimaras Local Tourism/Office of the Governor; Local Tour packages available at hotels *List of Tourist Spots in the attachment is for information/and Reference only)Check✓
Participant Early Registration & Payment on or
before Dec 15, 2012
Regular RateDecember 16 onwards
PART 3. A. SIMPLE STEPS IN MAKING ENEDA/YES PAYMENTS: BDO Savings Account No. 00246103626 Makro-Cainta 1. Fill in Registration Form /OR Membership Information Form; and 2. Make payment: Make CHECK payable to ENEDA; or Cash Deposit to: ENEDA BDO Savings Act No. 00246103626; Makro - Cainta Branch; Ask and Retain Deposit Slip3. Scan/E-mail to: [email protected] / or FAX to: 63 2 443-3939 (c/o PDO/Miriam College); Together with the filled-up Registration/Membership/Payment information Form4. Text advise: 0916-624-8355 (Chloe); and wait for confirmation – about 1 week/or after check is cleared) 6. TRUNK LINE: (+63 2) 580 5400 local 1105, PDO – Miriam College; Ms. Cristina Ibanez /or Chloe Villegas 7. KEEP Original Deposit Slip; Bring and show on Conference Proper on February 8, 2013 B. PAYMENT INFORMATION TO SUBMIT: Total Amount Paid:Date and Time of Payment:BDO Branch Address:Mode of Payment: ☐Cash ☐Check: Bank Name/Branch:Check Number:
1. Student (YES member) P 2,500.00 P 2,750.00
2. Entrepreneurship Alumni P 2,500.00 P 2,750.003. Student (Non- member) P 2,750.00 P 3,000.004. Educator (member) P 3,500.00 P 3,750.005. Educator (Non- member) P 4,000.00 P 4,500.006. Non-academic/Friends P 4,000.00 P 4,500.00
B. ANNUAL/and NEW MEMBERSHIP FEES ☐ENEDA renewal/New P500.00 ☐YES/Students/Alumni: P 100. 00
C. NOTE for Alumni: (to enjoy discounted rate; must show proof of previous school ID as Business /Entrepreneurship graduate; or YES membership or Past ENEDA Official Receipt); Sorry, No proof; No ENEDA/YES previous record; No discount
Entrepreneurship Educators’ Association Of The Philippines, Inc. (ENEDA)Official Address for SY 2011-2013: University of the Philippines-Institute for Small Scale Industries (UP-ISSI)
Room 405 4/F, E. Virata Hall, E. Jacinto Street, UP Campus, Diliman, Quezon City ZIP 1101www.enedaphilippines.com; [email protected]; 0916 624 8355 (Chloe/MC); Telefax: (+632) 443 3929 (PDO/MC)
CONFERENCE REGISTRATIONMEMBER INFORMATION; PAYMENT FORM
ENEDA is 11_page 1
Please check appropriate box☐ EDUCATOR ☐ENEDA Member ☐STUDENT ☐YES Member ☐ALUMNI/ BS ENTREPRENEURSHIP COURSE ☐FRIENDS/SUPPORTERS☐ Paper Submission Title:☐
Last Name: First Name: Middle Name:School Affiliation/Region:
School/Office/or Business Address:
Position: Department/College: Others:
Highest Education Attainment: Year graduated:Present year level:
Dept. Chair/ College Dean: School President:
Area of Specialization: (in Entrepreneurship)
Or Area of Expertise in Business; Related Courses:
Or Others:
Entrepreneur (or Student) - Your Nature of Business (or Venture Project)
Contact Details - Email Address: Land Line: Mobile No./s:
___________________________________ SIGNATURE/Date:
Entrepreneurship Educators’ Association Of The Philippines, Inc. (ENEDA)Official Address for SY 2011-2013: University of the Philippines-Institute for Small Scale Industries (UP-ISSI)
Room 405 4/F, E. Virata Hall, E. Jacinto Street, UP Campus, Diliman, Quezon City ZIP 1101www.enedaphilippines.com; [email protected]; 0916 624 8355 (Chloe/MC); Telefax: (+632) 443 3929 (PDO/MC)
ENEDA/YES MEMBER INFORMATION FORM ENEDA is 11_page 2
Entrepreneurship Educators’ Association Of The Philippines, Inc. (ENEDA)Official Address for SY 2011-2013: University of the Philippines-Institute for Small Scale Industries (UP-ISSI)
Room 405 4/F, E. Virata Hall, E. Jacinto Street, UP Campus, Diliman, Quezon City ZIP 1101www.enedaphilippines.com; [email protected]; 0916 624 8355 (Chloe/MC); Telefax: (+632) 443 3929 (PDO/MC)