March 2014 Web-cast Seminar

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When: 1 March 2014, Saturday, 9:00am to 12:00
Where: Bridges Foundation Inc. , 22 Scout Limbaga St., West Triangle,Quezon City

First Name *

Last Name *

Mobile Number *

Please do not leave blank to facilitate attendance confirmation.

Email Address *

Please do not leave blank to facilitate attendance confirmation

Classification *

Person with Autism

Family Member

Student

Professional

ASP Membership Number

Registration Rates *

By March 1, regular rates will apply

P 400.00 - Pre-registration - Member

P 500.00 - Pre-registration - Non-member

P 500.00 - Regular Rate - Member

P 600.00 - Regular Rate - Non-member

Payment Mode *

Indicate your payment preference. Walk-in registration will be subject to availability of seats.

via Metrobank Branch 047-3-04751874-2. Fax your deposit slip to (02) 926-6941 or email a scan copy to autismphils@gmail.com

via Paypal. We will send a bill to your email address so you can complete the transaction.

via Cash. Visit the ASP Office at Room 307, ML Building #47 Kamias Road, Quezon City.

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