ONLINE REGISTRATION FOR 9TH GENERAL ASSEMBLY (Individial Registration)
Personal Details
Name of Delegate * Required
Position
Organization
Province/Municipality/City
Mailing Address
Telephone Number
Fax Number
Mobile Number * Required
E-mail Address * Required	ex. xxxx@yyyy.com
Payment Details
Registration Fee	4,200.00 / Person
Optional Tour (1,300.00) * Required	YES NO
Total amount paid * Required
Paid through Metrobank Branch * Required
Date deposited payment * Required	12345678910111213141516171819202122232425262728293031 January February March April May June July August September October November December 20102011201220132014201520162017201820192020

* Required field

In order to process your registration, we hope to receive your registration fee to the assembly through:

Bank                            : METROBANK-QUEZON CITY ROTONDA BRANCH
Account name             : Philippine Federation of Local Councils of Women (PFLCW) Inc.
Account number         : CA NO. 7-177-52405-7