ASPNC 2012 Registration Form
12th National and 2nd Southeast Asian Conference on Autism
28-29 April 2012
Crowne Plaza Manila Galleria
Ortigas Avenue, Quezon City
Are you an ASP Member?
Please register me for:
Pre-Registration is until April 17. On-Site Registration is April 18 onwards.
Pre-Registration > ASP Member > P4,000.00
Pre-Registration > Non-ASP Member > P 5,000.00
Pre-Registration > Foreign Delegates > USD 120.00
On-Site Registration > ASP Member > P 4,500.00
On-Site Registration > Non-ASP Member > P6,000.00
On-Site Registration > Foreign Delegate > P 150.00
Payments may be deposited to Metrobank (Kamias). Autism Society of the Philippines, Account Number 047-3-04751874-2. Please send a copy of your deposit slip to ASP via fax (+632.926.6941) or email (
Wire / Money Transfer
Total amount paid*
*No refund for cancellations.
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