PUA 2018 Masterclass Registration
Program Details of each masterclass can be viewed at http://puanet.org/index.php/register-to-annual-congress/masterclass-2

You may register for 1 Masterclass per day
There are only 25 slots per Masterclass

Registration Fee (To be paid via bank deposit WITHIN 3 DAYS after registration is submitted)
1 Masterclass Php 3000
2 Masterclasses Php 5000
3 Masterclasses Php 6000

Bank Details:
Account Name: Philippine Urological Association Inc
Account # 002570008972
Union Bank of the Philippines

Send a photo of your deposit slip to Viber at 09175244456 or email pua_org@yahoo.com

Last Name *
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First Name *
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Email *
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November 21 2pm to 4pm *
November 23 7am to 9am
November 24 7am to 9am
I understand that I will have to make a bank deposit within 3 days of registration, otherwise my slots will be forfeited *
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