Registration Form
INTEGRATED BAR OF THE PHILIPPINES
9th Eastern Visayas Regional Convention
Bohol Tropics Resort Club, Tagbilaran City
March 11-13, 2010
REGISTRATION FORM
NAME: ……………………………………………………………………………………………………………………………………………………………………
Last Name First Name Middle Name
CHAPTER: ………………… Attorney’s Roll No………… Life Membership No. ……………………………
ADDRESS: (Home)……………………………………………………… Tel No………………………………
( Office) …………………………………………………… Tel No………………
E-mail Address………………………………………… Mobile No……………………………
IBP POSITION:…………………………………………………………………………………………………………………………
Contact person in case of Emergency………………………………………Contact No…………………………………
Will be staying at ______________________________________________________
Interested to tour the Province
Through Travel Agency: Yes________ No___________
__________________________________
Registrant’s Name