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9th Philippine National
Immunization Conference
| Program | Register On-line |

Dates: 6-7 Nov. 2008
Venue: Hyatt Hotel and Casino Manila

1588 Pedro Gil cor M.H. del Pilar, Malate, Manila

Theme: "Fighting Poverty Through Immunization"

Program

REGISTRATION
FORM
Member Non-Member
Dr.Prof. Mr. Ms./Mrs.
Last Name
First Name
Middle Name
Institution/Org.
Department
Address
City/Town
Postal Code
Phone No.
Fax No.
Mobile Phone No.
Email
Registration Fees
  • Member (who attended three consecutive PNIC conferences) : Free
  • Donor Member
  • Pre-Registration: Php 800.00 On or Before October 15,2008
  • On-Site-registration: Php 1,000.00
Payment for Pre-Registration
  • Bank transfer (Please fax the photocopy of the bank transaction slip to 567-2397)
  • Savings account: 200-601128-7 PFV
    (PNB-PGH Taft Branch)
    3283-5189-21
    (BPI-Ermita Branch)
  • Check (Please make check payable to Philippine Foundation for Vaccination)
Send all queries/concerns
re: registration by fax/e-mail to:
The Secretariat
Philippine Foundation for Vaccination (PFV
)
c/o Section of Infectious & Tropical Diseases (INTROP)
Department of Pediatrics, UP-PGH
Tel: 632 526-9167
Fax: 632 567-2397
e-mail: pfvinc@yahoo.com , admin@philvaccine.org

Website: www.philvaccine.org