UERM COLLEGE OF MEDICINE ALUMNI ASSOCIATION, INC. Alumni Office, Admin Bldg., 64 Aurora Blvd., Brgy. Doña Imelda, Quezon City, Philippines Tel No.: (+63) 02-7150861 loc. 319 • Mobile: +63920-6748830 c/o Ida Tabuzo-Amboy E-mail Address: [email protected] / Website-Link: uerm.edu.ph / Mail group: [email protected] 45th Annual Medical Alumni Homecoming February 9-13, 2015 ALUMNI INFORMATION __________________________________________________________________________________________ NAME. Last First Middle __________________________________________________________________________________________ Address __________________________________________________________________________________________ Hospital __________________________________________________________________________________________ Telephone Mobile Fax __________________________________________________________________________________________ Email Medicine Class Specialty REGISTRATION for Events Quantity US$ PHP Total February 9-10 (Monday-Tuesday), UERM JMC Auditorium II: 8AM: 3rd UERM-CMAA, Inc. Annual Convention & Scientific Meeting free free - Lifetime Member Alumni/Resident MD’s 500 - Non-Lifetime Member Alumni/Guest February 9 (Monday), UERM JMC Auditorium II: 3PM: 2nd Dr. Wilmer G. Heceta Memorial Lecture free free February 10 (Tuesday): 1PM, UERM JMC Auditorium II: 17th Dr. Potenciano D. Baccay Memorial Lecture free free 5PM, UERM Gym: Medical Alumni Welcome Party and Reunion February 11 (Wednesday), UERM University Auditorium I and II: free free 8AM: Convocation Ceremonies for Class 65 & 90 February 12 (Thursday), Grand Plaza Ballroom, Sofitel Philippine Plaza, Manila: 5PM: Fellowship Night Dinner: - UERM Administration Officers and Faculty free - Lifetime Member Alumni/Guest P2,200 - Non-Lifetime Member Alumni P2,700 Total: Please make all checks payable to UERM COLLEGE OF MEDICINE ALUMNI ASSOCIATION, INC. ACCOMODATION for Sofitel Philippine Plaza FOR UERM MEDICAL ALUMNI GROUP ONLY: February 12, 2015 Rates are inclusive of buffet breakfast; 10% service charge, 12% VAT and 0.825% government tax No. of Rooms PHP Single Rate 7,370.00 net SUPERIOR ROOM Double Rate 8,353.00 net Kindly email room booking to: [email protected], c/o Ms. Ida Tabuzo-Amboy Please submit completed registration form to above alumni office Address _________________________________ ____________________ Signature Date
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