Hagonoy Municipality After the Flood > Chocolate Around the World ...

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DON’T FORGET TO RENEW!
It is time to make your renewal to the ADBSA. Please, cut or photocopy this form, fill it and submit it to Alexis
Morales, c/o Jose Morales, Room 3404W.
Asian Development Bank Spouses' Association
6 ADB Avenue, Mandaluyong City, Metro Manila
E-mail: adbsamail@gmail.com
www.adbsaweb.org
Year 2012/13
(Please fill in form block letters)
NEW
RENEWAL
NAME (FIRST) (MIDDLE) (LAST)
EMAIL : NATIONALITY:
ADDRESS :
TEL: CELL PHONE :
OCCUPATION:
ARRIVAL DATE IN PHILIPPINES :
SPOUSES NAME :
BIRTH DATE : (DD/MM)
Brief information about yourself :
Please tick if you would like to be involved in the following ADBSA committees or activities:
Social welfare committee Fund raising events Hospitality committee
Scholarship committee Database management Country representatives
Festive committee Hosting coffee mornings General program
Cooking demonstrations Newsletter contribution
Please enclose your annual membership fee of P1200 in cash or cheque made out to ADBSA. ADBSA funds
are used to support charitable work and cover ADBSA expenses. Forms and payments may be submitted to
Alexis Morales, c/o Jose Morales, Room 3404W. Upon receipt, you will be added to our mailing list. Thank you!
For ADBSA internal use only
Annual Membership Fee :
Cash Cheque #
Date of Payment : ADBSA Receipt Number :
Treasurer : Database Manager :