Registration for the 2nd OASP Conference

2^nd National Organic Agriculture Scientific Conference

February 16-20, 2016

Visayas State University, Baybay City, Leyte

REGISTRATION FORM

Complete Name: _________________________________________ Cell #:___________________

Complete Address:________________________________________________________________

Student :  Please state school, degree, year level ________________________________________

_______________________________________________________________________________

Researcher: Please state briefly research paper(s) title:____________________________________

________________________________________________________________________________

Teacher/Professor : Please state your position and subject(s) taught ________________________

________________________________________________________________________________

School __________________________________________________________________________

OA Scientific Papers completed _____________________________________________________

________________________________________________________________________________

Note: For researcher or professor, please use separate sheet for your complete listings.

Farmer :  Please state location of farm, size, crops planted, animals raised: _____________________________________________________________________________________________________________________________________________________________________________________________

Farmer Association:_______________________________________________________

Location________________________________________________________________

Government Employee : Please state position, LGU/Agency represented, location ________________________________________________________________________

OA Trainer: Please state briefly area of expertise and number of years of experience ________________________________________________________________________

Media :  Please state your affiliation:___________________________________________

OA Enthusiast : Please state your area of interest:_______________________________

Payment of Registration Fee: I attached herewith the full payment for the registration fee of Five Thousand Five Hundred only:

Check No. ______________Bank ______________________________Date______ ____________

Note: Please make all check payable to the Organic Agriculture Society of the Philippines, Inc.

Cash Payment:___________________________________________________________________

Please attach proof of payment with this registration - official receipt or remittance slip duly received.

The ORGANIC AGRICULTURE SOCIETY OF THE PHILIPPINES, INC. will issue you an official receipt of your payment upon verification of your remittance or check payment. 

This form should be filled up by individual participant.  Please make sure all the information required are completed and written clearly.  Please fill up the OASP Membership Form separately if you are applying for membership.

Thank you!

________________________________________________________________________________