| Register now to get these benefits: (Check desired items.) Right-click here to download printable form. Any information you enter here is considered confidential and will not be given to others outside of Balik Sorsogon. PLEASE DO NOT LEAVE FIELDS MARKED WITH * BLANK. |
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| *Registration Fee:
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Tell us about yourself: |
| *Name:
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| Gender:
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*Birthday:
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Zip Code:
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| *Sorsogon Hometown:
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US/foreign-based donors: Chosen Candidate for Mrs. Balik Sorsogon is
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| Philippine-based donors: Chosen Candidate for Mrs. Balik Bicol is
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Yes! I want to help build the Sorsogon Museum and Heritage Center by purchasing ad space in the Balik Sorsogon 2006 Magazine Journal:
1/4 page: US$35.00
1/2 page:
US$65.00
1 whole page: US$100.00 |
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| Please send registration fee and other donations/payments to the Sorsogon Provincial Tourism Council, Inc. no later than May 31, 2006. |
To make your dollar donations tax-deductable, please make checks payable to: Ayala Foundation USA |
255 Shoreline Drive, Suite 428, Redwood City, CA 94065, USA |
Tel. No. (+650) 598-3126, Fax: (+650) 508-8898 |
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Contact Person: Sherry Lynn Peralta, Executive Director |
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To Our Local Delegates/Mrs. Balik Bicol Sponsors: |
For donations in Philippine Currency, please make checks payable to the Sorsogon Provincial Tourism Council, Inc. |
For faster processing, please deposit checks or Peso donations through any Bank branch to:
| Acct. Name: Sorsogon Provincial Tourism Council, Inc. |
| Acct. No.: 191-107-301-5 |
| China Bank, Sorsogon City Branch |
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Important: Please send us a copy of your online or bank deposit and/or payment slips by email to registrar@baliksorsogon.org or by Fax to (+632) 899-2426 for immediate processing and acknowledgment. Thank you.
For more information on payment transfers or to get an acknowledgment of your payment, please email Ms. Bing Ravanilla, treasurer@baliksorsogon.org
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