REGISTRATION FORM C.P. NO.: LANDLINE: FAX: E-MAI

10TH PRESIDENTS-SECRETARIES MEETING
MARCH 6-8, 2015
TUGUEGARAO CITY, CAGAYAN
Host: FILIPINO-CHINESE CATHOLIC ASSOCIATION OF TUGUEGARAO
REGISTRATION FORM
CHAPTER:
NAME OF ORGANIZATION:
NAME OF DELEGATE 1 (GROUP LEADER/ CONTACT PERSON):
_______________________________________________________________________________________
(FAMILY NAME)
(FIRST NAME)
C.P. NO.: ___________________
FAX: ________________________
(M.I.)
LANDLINE:____________________________
E-MAIL: ______________________________
NAME OF DELEGATE 2:
_______________________________________________________________________________________
(FAMILY NAME)
(FIRST NAME)
(M.I.)
NAME OF DELEGATE 3:
_______________________________________________________________________________________
(FAMILY NAME)
TRAVEL INFORMATION:
(FIRST NAME)
(M.I.)
DATE AND TIME OF ARRIVAL IN TUGUEGARAO
[ ] CEBU PACIFIC AIR
_________________________________________________
[ ] PHILIPPINE AIRLINES
_________________________________________________
[ ] LAND TRANSPORTATION_________________________________________________
DEPARTING ON MARCH 8, 2015: [ ]YES
[ ]NO
DEADLINE FOR SUBMISSION OF REGISTRATION FORMS AND PAYMENTS
EARLY REGISTRATION FEE 4,000.00 Php
Deadline: December 31, 2014
LATE REGISTRATION FEE
4,500.00 Php
Deadline: January 15, 2015
NOTE: FEES ARE NON-REFUNDABLE
PLEASE MAKE PAYMENT/ CHECKS PAYABLE TO:
ACCOUNT NAME: EDNA ONTIVEROS AND JESUSA JAYME
ACCOUNT NUMBER: 0000-002801-623 (SECURITY BANK – TUGUEGARAO BRANCH)
TOTAL AMOUNT PAID:
_________________________________________________________________
MODE OF PAYMENT:
[ ] CASH/ ONLINE DEPOSIT
____________________
[ ] CHECK CHECK NO. _________________
____________________
DATE OF PAYMENT:
DATE OF PAYMENT:
BRANCH WHERE DEPOSIT WAS
MADE____________________________________________________
DATE ____________________________________
SIGNATURE __________________________
For inquiries, please call: Anita Ong 09175538828 / Neldie Dee 09175784208 / Fr. Fredel 09175571199
10TH PRESIDENTS-SECRETARIES MEETING
MARCH 6-8, 2015
TUGUEGARAO CITY, CAGAYAN
Host: FILIPINO-CHINESE CATHOLIC ASSOCIATION OF TUGUEGARAO
HOTEL RESERVATION FORM
CHAPTER:
NAME OF ORGANIZATION:
NAME OF DELEGATE 1 (GROUP LEADER/ CONTACT PERSON):
_______________________________________________________________________________________
(FAMILY NAME)
C.P. NO.: ___________________
FAX: ________________________
(FIRST NAME)
(M.I.)
LANDLINE:____________________________
E-MAIL: ______________________________
HOTEL INFORMATION: HOTEL ROMA, Corner Luna and Bonifacio Sts., Tuguegarao City
The main events will be held at Hotel Roma’s Ilocano Function Hall. Rooms are reserved on first come first served
basis. Those who cannot be accommodated at Hotel Roma will be booked at a nearby hotel with a different room rate.
Room Type
Rooms Available
Capacity
Max. Capacity Rate
[ ] Senior Executive Suite
2
2
3
3,900.00 Php
[ ] Junior Executive Suite
2
2
3
3,300.00 Php
[ ] Deluxe Dormitory
2
8
12
4,500.00 Php
[ ] Deluxe Family
2
3
5
2,600.00 Php
[ ] Superior Family
2
3
4
2,300.00 Php
[ ] Superior Triple
4
3
5
2,300.00 Php
[ ] Superior Twin
13
2
3
1,900.00 Php
[ ] Superior Matrimonial
26
2
3
1,600.00 Php
[ ] Superior Single
16
1
2
1,200.00 Php
[ ] Standard Single
6
1
1
800.00 Php
*Extra Bed (payment added to room rate according to original room capacity)
240.00 Php
Room rates are according to room original capacity.
Check-in Date:
Checkout Date:
Sharing Room With:
Guest
1_________________________________________________________________________________
(FAMILY NAME)
(FIRST NAME)
(M.I.)
Guest
2_________________________________________________________________________________
(FAMILY NAME)
(FIRST NAME)
(M.I.)
Guest
3_________________________________________________________________________________
(FAMILY NAME)
(FIRST NAME)
(M.I.)
Guest
4_________________________________________________________________________________
(FAMILY NAME)
(FIRST NAME)
(M.I.)
FOR PAYMENT DETAILS, PLEASE SEE THE BACK OF THE FORM.
For inquiries, please call: Anita Ong 09175538828 / Neldie Dee 09175784208 / Fr. Fredel 09175571199
PAYMENT DETAILS
DEADLINE FOR SUBMISSION OF HOTEL RESERVATION FORMS AND PAYMENTS
50% DEPOSIT OF HOTEL ACCOMMODATION
FULL PAYMENT OF HOTEL ACCOMMODATION
NOTE: FEES ARE NON-REFUNDABLE
Deadline: December 31, 2014
Deadline: January 31, 2015
PLEASE MAKE PAYMENT/ CHECKS PAYABLE TO:
ACCOUNT NAME: EDNA ONTIVEROS AND JESUSA JAYME
ACCOUNT NUMBER: 0000-002801-623 (SECURITY BANK – TUGUEGARAO BRANCH)
TOTAL AMOUNT PAID: ________________________
MODE OF PAYMENT:
[ ] CASH/ ONLINE DEPOSIT
____________________
DATE OF PAYMENT:
[ ] CHECK CHECK NO. _________________
____________________
DATE OF PAYMENT:
BRANCH WHERE DEPOSIT WAS
MADE____________________________________________________
TRAVEL INFORMATION:
DATE AND TIME OF ARRIVAL IN TUGUEGARAO
[ ] CEBU PACIFIC AIR
_________________________________________________
[ ] PHILIPPINE AIRLINES
_________________________________________________
[ ] LAND
TRANSPORTATION_________________________________________________
DEPARTING ON MARCH 8, 2015:
[ ]YES
[ ]NO
DO YOU WANT US TO ARRANGE WITH THE HOTEL YOUR EARLY ARRIVAL
OR LATE DEPARTURE?
[ ]YES
[ ]NO
DO YOU WANT TO RESERVE AN OPTIONAL TOUR?
(To be paid directly to the tour operator in Tuguegarao)
[ ]YES
[ ]NO
WHICH OPTIONAL TOUR DO YOU WANT TO JOIN?
[ ] OPTION 1: Visit Old Churches and Overnight Stay in Sta. Ana, Cagayan (2 days 1 night)
[ ] OPTION 2: Callao Caves Sightseeing Tour (half day)
DATE __________________________________
SIGNATURE ______________________________
For inquiries, please call: Anita Ong 09175538828 / Neldie Dee 09175784208 / Fr. Fredel 09175571199