REGISTRATION FORM

2016 MCPI Annual Conference

Realizing the Sustainable Development Goals through Microfinance
28 29 July 2016 I Century Park Hotel, Manila
Name of Institution:
Is your institution a member of
MCPI?
Tel No.:

) Yes

) No

Fax No.:

Email:
Name
Scholar (if MCPI Member):

Nickname

Participants (please add rows if necessary):

Nickname

Form accomplished by:

(Signature over printed name)

Please deposit your payments to:

Bank of the Philippine Islands
Account Name: Microfinance Council of the
Philippines, Inc.
Account No.: 9821-0011-26

CONFIRMATION OF PAYMENT
We hereby confirm the deposit of our payment for the above-named conference at the
_________________________ branch of the Bank of the Philippine Islands. Amount deposited is
_____________________ (PHP__________).
***
Note: Please send a copy of the accomplished registration form and validated deposit slip from the
Bank of the Philippine Islands (scan whole page) to MCPI at secretariat@microfinancecouncil.org.
Deadline for submission of registration form and payment is on July 20, 2016.