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17th Philippine Conference on Alzheimer’s Disease and Related Disorders Dementia Society of the Philippines Annual Convention REGISTRATION FORM.
This serves as the official registration form for the 17TH ADRD DSP CONVENTION at SUMMIT GALLERIA Cebu City.
Email address *
REGISTRATION PROCEDURES
STEP 1: Complete the information sheet on the next section.

STEP 2: For payment of registration fees, you can deposit the amount to
Account Name: Dementia Society of the Philippines, Inc.
Bank: Bank of the Philippine Islands (BPI) Kamias Cor. Anonas Q.C.
Account: CHECKING ACCOUNT
Account Number: 3321-0187-92

STEP 3: Take a photo of the deposit slip and send it to dementiasocphil@gmail.com with the following details:

Full Name of Participant
Email
Contact Number

*REMINDER:
> If you do not receive an email acknowledging the receipt of your payment within 7 calendar days, it should be assumed that it has not been received, and you should contact us again by sending another email to dementiasocphil@gmail.com.

I UNDERSTAND THE PROCEDURE, AND I WANT TO PROCEED TO THE REGISTRATION FORM. *
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