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APPLICATION FOR MEMBERSHIP

 

Type of Membership: 

       ball3.gif (5369 bytes)     REGULAR A PhP 2,000.00 monthly

        ball3.gif (5369 bytes)    REGULAR B PhP 2,000.00 monthly

        ball3.gif (5369 bytes)    ASSOCIATE PhP 1,000.00 monthly

        ball3.gif (5369 bytes)    INDIVIDUAL PhP 500.00 monthly

(Annual Membership Dues are normally payable in lump-sum in advance, on or before the March Annual General Meeting)

 

PMEA Membership Application Form

 

ball3.gif (5369 bytes)     Name:*  

ball3.gif (5369 bytes)     Office Address:*

ball3.gif (5369 bytes)     Postal Address (if different):*  

ball3.gif (5369 bytes)     Contact Details:*  

ball3.gif (5369 bytes)     Telephone:  

ball3.gif (5369 bytes)     Facsimile: 

ball3.gif (5369 bytes)     E-mail:  

ball3.gif (5369 bytes)     Nominated Voting Representative:* First Name Middle Initial Family Name 

        Please note that voting rights are based upon Membership Dues being fully paid and current.

ball3.gif (5369 bytes)     Preferred Form of Address: "      " (Dr., Mr. Ms. Mrs.,etc)

ball3.gif (5369 bytes)     Other Non-Voting Representatives:*  First Name Middle Initial Family Name 

Note: Entry to Monthly PMEA Meetings is free to one (1) Member representative, whilst other representatives and/or invited Guests will be charged PhP100.00 meeting fee.

 

Send your application form with the above information to:

Philippine Mineral Exploration Association

c/o Indophil Resources Phils., Inc.

Level 3, L&F Building, 107 Aguirre St.,

Legaspi Village, Makati City, Philippines

Phone: (632) 810-1399 Fax: (632) 752-1446

E-mail: pmea@info.com.ph