Registration Form: 2nd PHILIPPINE HERBAL MEDICINE SUMMIT, 4TH - 5TH OCTOBER 2018
Event Date : 4TH - 5TH OCTOBER, 2018
Event Address : AG New World Manila Bay Hotel,
1588 Pedro Gil cor. M.H. Del Pilar, Manila, Philippines, 1004
https://manilabay.newworldhotels.com/en/
Contact Us at : (02) 5264248 Look for AJ
Email Add : nih.ihm@gmail.com
FB page : https://www.facebook.com/instituteofherbalmedicine
Registration :

EARLY BIRD RATE until August 31, 2018
Students PhP 3000
Professional PhP 4000

REGULAR RATE:
Students PhP 4000
Professional PhP 5000

(For Sponsorship - contact AJ)
Please fill out all blanks

Name (Surname, Name, Middle Initial) *
Follow this format Last name, First name, Middle Initial
Designation
Field of Practice
Sector
Contact number *
Email *
Home Address *
Work/School Address *
Where did you Learn about this event? *
You will be attending the summit to?
For further inquiries regarding abstract submission and research pitch for funding, please get in touch with Mr. AJ Ramos, Administrative Officer of the Institute of Herbal Medicine at telephone number (632) 5264248 or email at nih.ihm@gmail.com. You may also visit our Facebook page www.facebook.com/instituteofherbalmedicine for updates.
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Additional Terms