1. Company / Institution / Organization
2. Designation
First Name
Last Name
Home / Office Number
3. Name
Mobile Number
4. Mailing Address
5. Contact
Numbers
6. Delegate Status (please mark one)
International Delegate
Processor
Exporter
Trader
Farmer / Grower
Gov’t Representative
Academe
Others ____________
HOTEL RESERVATION (please mark your preference)
Cebu Waterfront Hotel (Congress Venue)
Salinas Drive, Lahug, Cebu City
RATE (net per night w/ bfast)
CHECK-IN DATE
CHECK-OUT DATE
Deluxe Room Single Occupancy
Deluxe Room Double Occupancy
Deluxe Room Single Occupancy
Deluxe Room Double Occupancy
***For cheaper accommodations, please contact the Congress Secretariat for a copy of the list of Hotels.
MEAL PREFERENCE (please mark your preference)
Muslim Meal (No pork / Halal)
No Preference
Vegetarian
Others (please specify) __________________
REGISTRATION FEE (exclusive of room accommodation)
REGULAR
Academe
Php 2,500.00
Farmer / Grower / Gov’t Agencies / LGU
Php 3,500.00
Industry Player
Php 4,000.00
EARLY BIRD
Php 2,000.00
Php 3,000.00
Php 3,500.00
SPONSORSHIP
Our Company _________________________________________ wishes to be one of the convention sponsors.
Advertisement in Souvernir Program
(please mark your preference)
One- Whole Page
One-Half Page
One-Fourth Page
One-Eight Page
Line Ad
Signature: _________________
Contact No.:___________________
Signature & Date ____________________________________________________________
Please fill in the Registration form and send to the Congress Registration Secretariat not later than October 30,
2014. Please deposit the Registration Fee, the total amount for Hotel Accommodation and Sponsorship to Seaweed Industry Association of the Philippines’ Account No. 2940-0028-96 at Bank of the Philippine Island Cebu Ayala FGU Branch and please furnish SIAP office copy of your deposit by email or by fax (032) 253 7433.
Ms. Jona