Philippine Foundation for Vaccination: EVENTS

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10th Philippine National
Immunization Conference
| Program | Register On-line |

Dates: 12-13 Nov. 2009
Venue: Hyatt Regency Hotel

Theme: "Looking Back... Moving Forward
10 Years of Immunizing for ... Life"

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: Php 880.00 on or before Oct. 30,2009 Pre-Registration: 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