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2017 Ayala Museum Workshops (Payment form)
Thank you for registering for our workshops.

By filling out this form, you are providing Ayala Museum and Ayala Foundation, Inc. consent to use your personal information solely for the purpose of contacting you about the workshops.

Workshop options: *
Required
Last Name and Middle Initial *
Your answer
First Name *
Your answer
I wish to have this NICKNAME on my badge: *
Your answer
Email Address *
Your answer
Telephone / Cellphone number *
Your answer
Address (Street, Barangay) *
Your answer
City *
Your answer
School / Company
Your answer
Payment Options
Membership Card No. (for members)
Your answer
Payment
Remarks for Christmas Workshops: Are you attending both AM and PM workshops? *
Discount Applicable
Date of payment
MM
/
DD
/
YYYY
Emergency Contact Person *
Your answer
Emergency Contact Number *
Your answer
We would like to learn more about you.
This information is a survey for our internal monitoring and marketing studies. Your individual information will not be shared to external parties and will be used solely for the purpose mentioned.
Gender
Age *
Food Allergies *
Your answer
Related workshops attended
Your answer
What are your expectations of this workshop?
Your answer
What skills do you wish to improve on?
Your answer
How would you rate your current skill?
Mailing list
TERMS AND CONDITION
I agree to the General Terms and Conditions of the website. *
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