0908 Stake Registration Form
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Republic of the Philippines Province of Surigao del Sur CarCanMadCarLanCorTan – Lanuza Bay Development Alliance (LBDA) Cantilan Municipal Building, Cantilan, Surigao del Sur Telefax No. (+6386) 212-5292 Website: www.lbda.ph OFFICE
OF THE
EXECUTIVE DIRECTOR
REGISTRATION
FORM
LBDAs Stakeholder Assessment & Networking Workshop August 26 – 27, 2009 W. Hotchkiss Learning Center Cantilan, Surigao del Sur
Name
:
Nickname
:
Position
:
Contact Number
:
Organization/ Institution : Department/ Municipality : Accommodation needed : Sex
:
Yes
No
Female
A poster will be presented
:
Male Yes
No
This Registration Form is to be sent back to LBDA Office at fax number (086) 212 - 5292, Email: [email protected] or thru letter not later than August 17, 2009. STRICT COMPLIANCE OF THIS DEADLINE WILL BE VERY MUCH APPRECIATED!
You may contact LBDA Office at Telefax No. (086) 212 - 5292, Mobile No. 0920-9102081 or Email: [email protected] if you have any queries regarding the activity.
OF THE
EXECUTIVE DIRECTOR
REGISTRATION
FORM
LBDAs Stakeholder Assessment & Networking Workshop August 26 – 27, 2009 W. Hotchkiss Learning Center Cantilan, Surigao del Sur
Name
:
Nickname
:
Position
:
Contact Number
:
Organization/ Institution : Department/ Municipality : Accommodation needed : Sex
:
Yes
No
Female
A poster will be presented
:
Male Yes
No
This Registration Form is to be sent back to LBDA Office at fax number (086) 212 - 5292, Email: [email protected] or thru letter not later than August 17, 2009. STRICT COMPLIANCE OF THIS DEADLINE WILL BE VERY MUCH APPRECIATED!
You may contact LBDA Office at Telefax No. (086) 212 - 5292, Mobile No. 0920-9102081 or Email: [email protected] if you have any queries regarding the activity.
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