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Registration Form: Please Place A Check On The Appropriate Box

The document is a registration form for the International Association of Pioneering Professionals for Services, Inc. which provides contact information for the organization including address, email, and phone number. It requests information from registrants such as name, title, organization, contact details, whether they will attend as a presenter or participant, the conference title and paper/research title if applicable, and preferred payment method for registration fees.

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Christian Gabriel
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14 views1 page

Registration Form: Please Place A Check On The Appropriate Box

The document is a registration form for the International Association of Pioneering Professionals for Services, Inc. which provides contact information for the organization including address, email, and phone number. It requests information from registrants such as name, title, organization, contact details, whether they will attend as a presenter or participant, the conference title and paper/research title if applicable, and preferred payment method for registration fees.

Uploaded by

Christian Gabriel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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INTERNATIONAL ASSOCIATION OF PIONEERING

PROFESSIONALS FOR SERVICES, INC.


SEC REG. NO.: CN201611479
Lot 3, Blk. 4, Doa Olimpia, Sto. Domingo, Urdaneta City
[email protected]
09073309863

REGISTRATION FORM
Please place a check on the appropriate box.
DR.

PROF.

LAST NAME

TITLE
MR.
MRS.
COMPLETE NAME
FIRST NAME

MS.
MIDDLE INITIAL

ORGANIZATION/ INSTITUTION

POSITION/S

ADDRESS
EMAIL ADDRESS

PRESENTER

CONTACT DETAILS
MOBILE NUMBER
WORK TELEPHONE NUMBER
ATTENDING AS
PARTICIPANT
TITLE OF CONFERENCE TO BE ATTENDED

TITLE OF PAPER/RESEARCH

THRU BANK DEPOSIT

MODE OF PAYMENT OF REGISTRATION FEE


ON-SITE REGISTRATION

Please email accomplished form to the specific email address of the conference you will be attending.
Certified True and Correct:

Signature above Pinted Name

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