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REGISTRATION FORM INDIVIDUAL PARTICIPANT … De La Salle University-Manila Email this form with the deposit slip as proof of payment made in the bank to: [email protected]

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Page 1: REGISTRATION FORM INDIVIDUAL PARTICIPANT … De La Salle University-Manila Email this form with the deposit slip as proof of payment made in the bank to: lsconference2018@gmail.com

REGISTRATION FORMINDIVIDUAL PARTICIPANTDATE: February 2-3, 2018

VENUE: De La Salle University-Manila

Email this form with the deposit slip as proof of payment made in the bank to: [email protected] Account Name: Roman Catholic Archbishop of Manila Bank & Account Number: BPI 0053-2762-53 IMPORTANT: 1. Registration Fee is P500 /participant inclusive of 2 lunch & snacks during the conference & kit with souvenir program. 2. For group participants, Please assign & divide your participants equally to the concurrent sessions/

workshops. Each participant can only attend to one (1) workshop/concurrent session at a given time. Please see attachment for details of concurrent sessions.

3. DEADLINE OF REGISTRATION & PAYMENT: January 15, 2018 4. KIT DISTRIBUTION: Feb.2, 6:30- 7:30 in the morning at the Venue 5. Acknowledgement Receipt and confirmation of registration will be sent after bank validation. 6. Final instructions will be sent via email to contact persons on or before January 20, 2018. 7. ACCOMMODATIONS AND TRANSPORTATION ARE NOT INCLUDED IN THE REGISTRATION FEE. FOR CHEAPER ACCOMMODATION, YOU MAY TRY the following: ASILO DE SAN V ICENTE DE PAUL Tel.# 02-5233829 & POPE PIUS CENTER. Tel # 02-5225069 For more information, please be free to contact our Secretariat c/o Ms. Lou V. Arsenio cp # +639088690211 or at the contact details above.

FULLNAME

SURNAME

FIRST

ADDRESS

CONTACT #

EMAIL Address____________________________________________________

ORGANIZATION/CONGREGATION/GROUP/COMPANY

Purpose for participating:

CONCURRENT SESSIONEach participant should only choose 1 each con-current sessions.

DAY 1 ( Chapters of Laudato Si Select 1 from chapters 1-6Day 2 AM (select 1 from 12 choices of workshops/forum)

DATE OF SUBMISSION & Payment

LAUDATO SI CONFERENCE ECCLESIASTICAL PROVINCE OF MANILA c/o RCAM Ministry on Ecology Caritas Manila Compound, 2002 Jesus St., Pandacan,Manila Email: [email protected] Telephone: 02-5623470 Tel/Fax: 02 5619975 “Ugnayang-Buhay para kay Inang Kalikasan!”