O.A.S.P. MEMBERSHIP APPLICATION FORM
oasp.001@gmail.com
INDIVIDUAL
Regular
and Lifetime Member
Full Name:_______________________________________________________________________
Birthday:_____________________Cel&Tel No. ________________________________________
Complete Mailing Address:_________________________________________________________
Highest Educational Attainment :_______________________School
________________________ Email Address:
______________________________ Webpage: ____________________________ Facebook
________________________________________
CORPORATE
/ INSTITUTION
For
company, LGU, NGO, government agency, institution - automatic lifetime membership –
PhP5,000.00
PhP5,000.00
Full Name: ______________________________________________________________________
Complete Address: ________________________________________________________________
_________________________________________________________________________________
Official OASP Representative: ________________________________________________________
(Only one Representative Allowed).
(Only one Representative Allowed).
Designation: ___________________________________Cel&Tel.
No. _____________________
INVOLVEMENT IN ORGANIC AGRICULTURE
Please
state briefly your work experience with organic agriculture or your interest in
a particular field of organic agriculture research and practice.
__________________________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________.
_________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________.
EXPECTATION FROM OASP MEMBERSHIP
Please
state briefly what you think can OASP activities enhance your knowledge in
organic agriculture, or what you can share with others who are interested in organic agriculture.
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________.
__________________________________________________________________________________________________________________________________________________________.
MEMBERSHIP APPLIED FOR AS INDIVIDUAL MEMBER:
Student : Membership Fee is PhP250.00 plus PhP100 Annual Fee TOTAL
PhP 350.00
Regular : Membership Fee is PhP500.00 plus PhP350 Annual Fee TOTAL PhP 850.00
Lifetime
: Membership Fee (One-time Payment) PhP2,000.00
PAYMENT
:
1. Check Payment: Please make check
payable to the Organic Agriculture Society of the Philippines, Inc.
2. Cash Payment : Please deposit to China Bank La Trinidad
Branch, Organic Agriculture Society of the Phil.
SA No. 2980336928. When deposited, please text Dr. Gilda Victoria B. Jacalan at 0917-805-1953, 0918-304-7195
3. Cash payment through Cebuana Lhuillier
or Western Union. All payable to Dr.
Gilda Victoria Bucu-Jacalan.
Benguet
State University, La Trinidad, Benguet. Please text details of your deposit to 0917-805-1953.
I certify that the above information
submitted are true and correct. I attached herewith my payment or proof of
payment for my membership fee.
Received by : for O.A.S.P. Submitted by : Applicant or Representative
_________________________________ _______________________________________
Upon receipt of full payment, an official receipt (OR) will be emailed to you along with the membership ID and certificate. For further questions,
please contact Dr. Gilda Victoria B. Jacalan.