O.A.S.P Membership form

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

Full  Name: ______________________________________________________________________

Complete Address: ________________________________________________________________

_________________________________________________________________________________

Official OASP Representative: ________________________________________________________
(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.