Membership Form
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- Words: 81
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TRIPLE S PHILIPPINES REGISTRATION FORM NAME:
USERNAME:
NICKNAME:
GENDER: M
F
ADDRESS:
CONTACT NUMBER (CEL): CONTACT NUMBER (TEL): E-MAIL ADDRESS: ARE YOU A MEMBER OF THE TRIPLE S PHILIPPINES FORUM? YES
NO
HOW DID YOU HEAR ABOUT TRIPLE S PHILIPPINES?
I AM FULLY AWARE OF THE MEMBERSHIP REQUIREMENTS AND THAT THE DETAILS PROVIDED ABOVE ARE TRUE AND CORRECT. I FURTHER VERIFY THAT THIS DOCUMENT WILL SERVE AS MY OFFICIAL REGISTRATION RECORD FOR TRIPLE S PHILIPPINES. ______________________________________________ SIGNATURE OVER PRINTED NAME
1
USERNAME:
NICKNAME:
GENDER: M
F
ADDRESS:
CONTACT NUMBER (CEL): CONTACT NUMBER (TEL): E-MAIL ADDRESS: ARE YOU A MEMBER OF THE TRIPLE S PHILIPPINES FORUM? YES
NO
HOW DID YOU HEAR ABOUT TRIPLE S PHILIPPINES?
I AM FULLY AWARE OF THE MEMBERSHIP REQUIREMENTS AND THAT THE DETAILS PROVIDED ABOVE ARE TRUE AND CORRECT. I FURTHER VERIFY THAT THIS DOCUMENT WILL SERVE AS MY OFFICIAL REGISTRATION RECORD FOR TRIPLE S PHILIPPINES. ______________________________________________ SIGNATURE OVER PRINTED NAME
1
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