MEMBERSHIP FORM-INDIVIDUAL
By filling out this form, you allow AASHPI to use the personal information provided below as well as the information (name, address, and contact number) of the school you are connected with. It will serve as your consent for AASHPI to utilize that information for business-related transactions, communication purposes and other process execution including delivery of notices, services and/or third-party relationship management. Rest assured that all information will be treated accordingly.
* Required
Email address
*
Your email
Name of School/Company:
*
Your answer
School Address:
*
Your answer
REGION:
*
NCR
REGION I
REGION II
CAR
REGION III
REGION IVA
REGION IVB
MIMAROPA
REGION V
REGION VI
REGION VII
REGION VIII
REGION IX
REGION X
REGION XI
REGION XII
REGION XIII
ARMM
Founding Year:
Your answer
Telephone Number:
Your answer
Fax Number:
Your answer
Website:
Your answer
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