8/6/2019 Confirmation Form (2 Days) of Summit Participants (With Fee) as of 6-04-11

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PARTICIPANTS CONFIRMATION / REGISTRATION FORMPARTICIPANTS CONFIRMATION / REGISTRATION FORM

1st CEBU CREATIVE INDUSTRIES SUMMITJune 21 22, 2011 at City Sports Club Cebu in Cebu Business Park

Section 1: Participants Info (Please print clearly.)

Name: (Mr/Ms)_______________________________________________________________________

(Last Name) (First Name) (MiddleInitial)

Company / Organization

_______________________________________________________________Position ________________________________________________________________________Address ________________________________________________________________________ Telephone _____________________ Mobile (optional) _________________ Fax__________________Email

________________________________________________________________________

Section 2: Registration Fee and Confirmation

I want to attend the June 21-22 Summit. Pleaseregister me for:

Pleasecheck:

Price Bracket

Early Bird Rate: Php 600 - if paid on or beforeJune 15Regular / On-Site Rate: Php 800 - if paid on June16 - June 21

Sorry, we cannot attend nor send any representative.

Section 3: Mode of Payment

[ ] Cash [ ] Check: Check payable to Cebu Chamber of Commerce and Industry

SUBMITTED BY:

___________________________________ _________________________________________Name and Signature Position and Organization /

Company

Please complete this form and return with payment to any of the following:

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CEBU CREATIVE INDUSTRIESSUMMIT SECRETARIAT

c/o DEPARTMENT OF TRADE ANDINDUSTRY- Cebu Provincial Office

OFFICE OF CEBUCHAMBER OF COMMERCE& INDUSTRY, INC.3/F, CCCI Center, CornerCommerce & Industry

AYALA CENTER CEBU

CEBU CHAMBER OFCOMMERCE & INDUSTRY(CCCI) BOOTH

8/6/2019 Confirmation Form (2 Days) of Summit Participants (With Fee) as of 6-04-11

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3rd Floor, LDM Building, corner LegaspiSt. and M.J. Cuenco Avenue, Cebu City6000Tel: 253 2631 loc. 18; 412-1863

Fax: 2540840 or 412-1856

Email:cebubusinessmonth2011@gmail.comContact: Kim Estalani or TessieEmphasisMobile: 0932-434-5968 (Kim Estalani)Hours: Mon-Fri, 9:00 AM 4:00 PM

Streets, North ReclamationArea, Cebu CityContact: CBM DIVISIONMaribel Y. Melgar, Officer-in-ChargeTel. # 232-1421 to 24 local109

Fax: 412- 9461 or 232-

1422Mobile # 0908-8918233Email:mymelgar21@gmail.comHours: Mon-Fri, 9:00 AM 4:00 PM

Ground Floor,Paseo SolanaWing (beside

TOPSHOP)

Booth in Ayala Center isopen from 2:00 6:00 PM

only.

Note: Payments must accompany this registration form. No registration will be confirmed unless payment is received.For clarifications on the contents of this form, please contact the Secretariat at contact info stated above.

mailto:mymelgar21@gmail.commailto:mymelgar21@gmail.com