PRE- FORUMREGISTRATION FORM
TRAINING TITLE
“2nd LGU QUALITY SUMMIT: Enhancing Public Service By Strengthening Quality Management System In Local Government Units And Government Line Agencies”
DATE / January 18-19,2018 / VENUE / City Sports Club, Cebu City
COMPANY INFORMATION
Company Name / ______
Address / ______
Contact Details: / Tel. No.:______ / Mobile No.:______
PARTICIPANT'S INFORMATION
Complete Name / Designation / Email
1. / ______/ ______/ ______
2. / ______/ ______/ ______
3. / ______/ ______/ ______
4. / ______/ ______/ ______
5. / ______/ ______/ ______
6. / ______/ ______/ ______
7. / ______/ ______/ ______
8. / ______/ ______/ ______
9. / ______/ ______/ ______
10. / ______/ ______/ ______
REGISTRATION FEE
  • EARLY BIRD RATE(until Jan.05,2018)
GROUP RATE (at least 3pax)
  • Regular rate (until slots last).
/ P 5, 000
P 6,000 / IncludingWithholding Tax
(Includeslunchsnacks, training kit andcertificate of completion)
MODE OF PAYMENT
  • Bank Deposit
  • Check
  • Cash
/ ALL payments must be made payable to: / AGF TRAINING AND CONSULTING
BPI Savings Account No.:
LANDBANK Savings Account No.: / 1023-2674-18
3171-0676-92
Notes:
  • Training venue & date are subject to change if the minimum number of participants required is not met.
  • To give equal opportunity to those who want to attend the training, participants are only considered confirmed upon submission of the signed Confirmation Slip together with the copy of bank deposit slip or cash payment.
  • For cancellations, please notify at least 2 weeks prior to the forum date. In absence of a notice,
50% administrative fee shall be charged to participant(s). An alternate is acceptable.
  • Please scan and email bank deposit slips to:

______

Name and Signature Date

Disclaimer:

  • AGF reserves the right to reset/cancel the training when the minimum number of participants required is not metbut undertakes to inform all confirmed participants one (2) weeks before the training regarding such re-setting/cancellation.
  • Participants outside Cebu are advised to purchase their plane ticket once final confirmation from AGFis received and that is one (1) week before the forum date.