The document contains a registration form and member information form for a conference organized by the Entrepreneurship Educators' Association of the Philippines (ENEDA). The forms include sections for registration details, conference fees, payment information, and member details. Participants can register as students, educators, alumni, or supporters. The conference will include exhibitions, presentations, and meals on the first two days, with an optional trip on the third day. Payment is due by certain dates, and can be made via bank deposit or check, with proof of payment required.

1. CONFERENCE REGISTRATION
MEMBER INFORMATION; PAYMENT FORM
ENEDA is 11_page 1
PART 1: REGISTRATION INFORMATION
School: Address: Chapter
EXHIBITOR: ☐P100.00 JOINING FEE FOR STUDENT VENTURE TEAM ☐P200.00 PER SCHOOL JOINING FEE ☐SPONSOR COMPANY (PER PACKAGE) ☐NOT APPLICABLE
1. STUDENT/TEAM Exhibition: Per Student Team/Company: Scaled Model of Prototype Displays ; Company/Product Portfolio / with 1-2 Minute AVP
2. SCHOOL Exhibition: Displays of School Program/Courses/Brochure/ with 1-2 Minute AVP
3. SPONSOR/PARTNER COMPANY Exhibition: Displays of Brochures/ Product Information/Tarp /Give away (For Arrangement)
SUBMISSION DEADLINE OF SOFT COPY OF PORTFLIO/S & AVP: JANUARY 4, 2013; SCALED PROTOTYPES OR PRODUCT MODELS FOR DISPLAYS MAY BE BROUGHT ON CONFERENCE DAY
PLEASE CHECK: ☐ ENEDA Member ☐ EDUCATOR (Non ENEDA-member) ☐ALUMNI / BS Entrepreneurship /or Business
☐ YES STUDENT Member ☐ STUDENT (Non YES-member) ☐Non-academic/practitioner/ friends/supporter
☐ With Paper Submission ☐ Title:
Surname First Name/M.I. E-mail C/phone; Landline
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PART 2: A. Conference Fees: For Day 1 & 2 Only: Registration; ID; Program: Kit; Certificate; Meals: Day 1: 1 pm snack; 1 Dinner; Day 2: 1 am/1pm snacks; 1 lunch; 1 dinner);
Day 3: Explore Your Own Memorable Iloilo or Guimaras Experience /This is at own expense; (*The Guimaras Trip is being arranged with the Guimaras Local Tourism/Office of the Governor; Local Tour packages
available at hotels *List of Tourist Spots in the attachment is for information/and Reference only)
Check Participant Early Registration & Regular Rate PART 3. A. SIMPLE STEPS IN MAKING ENEDA/YES PAYMENTS: BDO Savings Account No. 00246103626 Makro-Cainta
✓ Payment on or December 16 onwards 1. Fill in Registration Form /OR Membership Information Form; and
before Dec 15, 2012 2. Make payment: Make CHECK payable to ENEDA; or Cash Deposit to:
1. Student (YES member) P 2,500.00 P 2,750.00 ENEDA BDO Savings Act No. 00246103626; Makro - Cainta Branch; Ask and Retain Deposit Slip
2. Entrepreneurship Alumni P 2,500.00 P 2,750.00 3. Scan/E-mail to: enedais11_register@yahoo.com / or FAX to: 63 2 443-3939 (c/o PDO/Miriam College);
3. Student (Non- member) P 2,750.00 P 3,000.00 Together with the filled-up Registration/Membership/Payment information Form
4. Educator (member) P 3,500.00 P 3,750.00 4. Text advise: 0916-624-8355 (Chloe); and wait for confirmation – about 1 week/or after check is cleared)
5. Educator (Non- member) P 4,000.00 P 4,500.00 6. TRUNK LINE: (+63 2) 580 5400 local 1105, PDO – Miriam College; Ms. Cristina Ibanez /or Chloe Villegas
6. Non-academic/Friends P 4,000.00 P 4,500.00 7. KEEP Original Deposit Slip; Bring and show on Conference Proper on February 8, 2013
B. ANNUAL/and C. NOTE for Alumni: (to enjoy discounted rate; must B. PAYMENT INFORMATION TO SUBMIT:
NEW MEMBERSHIP FEES show proof of previous school ID as Business Total Amount Paid:
☐ENEDA renewal/New P500.00 /Entrepreneurship graduate; or YES membership or Date and Time of Payment:
☐YES/Students/Alumni: P 100. 00 Past ENEDA Official Receipt); Sorry, No proof; No
BDO Branch Address:
ENEDA/YES previous record; No discount
Mode of Payment: ☐ Cash ☐ Check: Bank Name/Branch:
Check Number:
Entrepreneurship Educators’ Association Of The Philippines, Inc. (ENEDA)
Official Address for SY 2011-2013: University of the Philippines-Institute for Small Scale Industries (UP-ISSI)
Room 405 4/F, E. Virata Hall, E. Jacinto Street, UP Campus, Diliman, Quezon City ZIP 1101
www.enedaphilippines.com; enedais11_register@yahoo.com; 0916 624 8355 (Chloe/MC); Telefax: (+632) 443 3929 (PDO/MC)

2. ENEDA/YES MEMBER INFORMATION FORM
ENEDA is 11_page 2
Please check appropriate box
☐ EDUCATOR ☐ ENEDA Member ☐ STUDENT ☐ YES Member ☐ ALUMNI/ BS ENTREPRENEURSHIP COURSE ☐ FRIENDS/SUPPORTERS
☐ Paper Submission ☐ Title:
Last Name: First Name: Middle Name:
School Affiliation/Region:
School/Office/or Business Address:
Position: Department/College: Others:
Highest Education Attainment: Year graduated:
Present year level:
Dept. Chair/ College Dean: School President:
Area of Specialization: (in Entrepreneurship)
Or Area of Expertise in Business; Related Courses:
Or Others:
Entrepreneur (or Student) - Your Nature of Business (or Venture Project)
Contact Details - Email Address: Land Line: Mobile No./s:
___________________________________
SIGNATURE/Date:
Entrepreneurship Educators’ Association Of The Philippines, Inc. (ENEDA)
Official Address for SY 2011-2013: University of the Philippines-Institute for Small Scale Industries (UP-ISSI)
Room 405 4/F, E. Virata Hall, E. Jacinto Street, UP Campus, Diliman, Quezon City ZIP 1101
www.enedaphilippines.com; enedais11_register@yahoo.com; 0916 624 8355 (Chloe/MC); Telefax: (+632) 443 3929 (PDO/MC)

3. Entrepreneurship Educators’ Association Of The Philippines, Inc. (ENEDA)
Official Address for SY 2011-2013: University of the Philippines-Institute for Small Scale Industries (UP-ISSI)
Room 405 4/F, E. Virata Hall, E. Jacinto Street, UP Campus, Diliman, Quezon City ZIP 1101
www.enedaphilippines.com; enedais11_register@yahoo.com; 0916 624 8355 (Chloe/MC); Telefax: (+632) 443 3929 (PDO/MC)