MEMBERSHIP APPLICATION - RK...

MEMBERSHIP

Please send to:Verband Management, 104 Minnesota Mansion, 267 Ermin Garcia Street, Cubao, Quezon City orVerband Management, 11 St. Patrick Square, Don Ramon Aboitiz Street, Cebu City Or fax to (02) 911.1966 Or scan and email to verbandmanagement@yahoo.com

FIFA FILIPINO INTERNATIONALFRANCHISE ASSOCIATION

RESTAURANT GROUPOF THE PHILIPPINES

PHILIPPINE BAKESHOP ASSOCIATION

PHILIPPINE COFFEE &TEA SHOP ASSOCIATION

VANITY ASSOCIATIONOF THE PHILIPPINES

Please check the boxes of the Association(s) you want to join

YES, WE ARE INTERESTED TO JOIN:

APPLICATION

YOGURT & ICECREAM OWNERSASSOCIATION OF THE PHILIPPINES

PHILIPPINE LAUNDRY AND WATERBUSINESS ASSOCIATION

PHILIPPINE CART &KIOSK ASSOCIATION

MEDICAL SERVICESPROVIDER ASSOCIATION

PET CARE ASIA ASSOCIATION

MEMBERSHIP APPLICATION

COMPANY NAME: ________________________________________________________________________________________________REGISTERED WITH DTI _________________________ OR SEC REGISTRATION: ________________________________________________MAIN OFFICE ADDRESS: ___________________________________________________________________________________________CITY: _____________________________________ PROVINCE: _______________________________________ COUNTRY: PHL/ _______TELEPHONE: (_____) ______________________________________________________________________________________________EMAIL: _________________________________________________________________________________________________________WEBPAGE: ______________________________________________________________________________________________________PRESIDENT / OWNER ______________________________________________________________________________________________GENERAL MANAGER / CEO _________________________________________________________________________________________REPRESENTATIVE TO THE ASSOCIATION: ______________________________________________________________________________ALTERNATIVE REPRESENTATIVE TO THE ASSOCIATION: __________________________________________________________________BUSINESS LINE _________________________________________________________________________________________________________________________________________________________________________________________________________________IN BUSINES SINCE ________________________________________________________________________________________________OPERATING UNDER THE BRANDS __________________________________________________________________________________________________________________________________________________________________________________________________PRODUCT LINE __________________________________________________________________________________________________ _______________________________________________________________________________________________________________OTHER BUSINESSES OPERATED BY SAME COMPANY: ___________________________________________________________________________________________________________________________________________________________________________________OTHER BUSINESSES OPERATED UNDER DIFFERENT COMPANY: ___________________________________________________________________________________________________________________________________________________________________________BRANCHES IN _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________FRANCHISING: YES _____ NO __________, IF YES HOW MANY FRANCHISEES _________________________________________________

REFERENCES:

NAME _________________________________ COMPANY ____________________________ CONTACT NO _______________________NAME _________________________________ COMPANY ____________________________ CONTACT NO _______________________NAME _________________________________ COMPANY ____________________________ CONTACT NO _______________________NAME _________________________________ COMPANY ____________________________ CONTACT NO _______________________NAME _________________________________ COMPANY ____________________________ CONTACT NO _______________________

MEMBERSHIP IN CHAMBERS AND ASSOCIATIONS: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________GOVERNMENT LICENSES IF EVER (DOTC, FDA, ETC.) _____________________________________________________________________NAME OF COMPANY / BRAND AS YOU WISH TO BE STATED IN THE MEMBERSHIP CERTIFICATE_______________________________________________________________________________________________________________PREPARED BY: _______________________________________________________ POSITION: __________________________________EMAIL: _______________________________________________________ CEL: _____________________________________________SIGNATURE: ____________________________________________ DATE: __________________________________________________

Please attach: Business permit, DTI Business name registration or SEC registration CoverpageFor Applicants in FIFA, please attach also Franchise Disclosure Information and Trademark Copy

Please send to:Verband Management, 104 Minnesota Mansion, 267 Ermin Garcia Street, Cubao, Quezon City orVerband Management, 11 St. Patrick Square, Don Ramon Aboitiz Street, Cebu City Or fax to (02) 911.1966 Or scan and email to verbandmanagement@yahoo.com

MEMBERSHIP APPLICATION

COMPANY NAME: ________________________________________________________________________________________________REGISTERED WITH DTI _________________________ OR SEC REGISTRATION: ________________________________________________MAIN OFFICE ADDRESS: ___________________________________________________________________________________________CITY: _____________________________________ PROVINCE: _______________________________________ COUNTRY: PHL/ _______TELEPHONE: (_____) ______________________________________________________________________________________________EMAIL: _________________________________________________________________________________________________________WEBPAGE: ______________________________________________________________________________________________________PRESIDENT / OWNER ______________________________________________________________________________________________GENERAL MANAGER / CEO _________________________________________________________________________________________REPRESENTATIVE TO THE ASSOCIATION: ______________________________________________________________________________ALTERNATIVE REPRESENTATIVE TO THE ASSOCIATION: __________________________________________________________________BUSINESS LINE _________________________________________________________________________________________________________________________________________________________________________________________________________________IN BUSINES SINCE ________________________________________________________________________________________________OPERATING UNDER THE BRANDS __________________________________________________________________________________________________________________________________________________________________________________________________PRODUCT LINE __________________________________________________________________________________________________ _______________________________________________________________________________________________________________OTHER BUSINESSES OPERATED BY SAME COMPANY: ___________________________________________________________________________________________________________________________________________________________________________________OTHER BUSINESSES OPERATED UNDER DIFFERENT COMPANY: ___________________________________________________________________________________________________________________________________________________________________________BRANCHES IN _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________FRANCHISING: YES _____ NO __________, IF YES HOW MANY FRANCHISEES _________________________________________________

REFERENCES:

NAME _________________________________ COMPANY ____________________________ CONTACT NO _______________________NAME _________________________________ COMPANY ____________________________ CONTACT NO _______________________NAME _________________________________ COMPANY ____________________________ CONTACT NO _______________________NAME _________________________________ COMPANY ____________________________ CONTACT NO _______________________NAME _________________________________ COMPANY ____________________________ CONTACT NO _______________________

MEMBERSHIP IN CHAMBERS AND ASSOCIATIONS: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________GOVERNMENT LICENSES IF EVER (DOTC, FDA, ETC.) _____________________________________________________________________NAME OF COMPANY / BRAND AS YOU WISH TO BE STATED IN THE MEMBERSHIP CERTIFICATE_______________________________________________________________________________________________________________PREPARED BY: _______________________________________________________ POSITION: __________________________________EMAIL: _______________________________________________________ CEL: _____________________________________________SIGNATURE: ____________________________________________ DATE: __________________________________________________

Please attach: Business permit, DTI Business name registration or SEC registration CoverpageFor Applicants in FIFA, please attach also Franchise Disclosure Information and Trademark Copy

Please send to:Verband Management, 104 Minnesota Mansion, 267 Ermin Garcia Street, Cubao, Quezon City orVerband Management, 11 St. Patrick Square, Don Ramon Aboitiz Street, Cebu City Or fax to (02) 911.1966 Or scan and email to verbandmanagement@yahoo.com