Membership Application Form

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Membership Application

  INSTITUTIONAL
  Institution : ..................................................................................................................................

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   Address   :  ...................... ...........................................................................................................

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   Tel        :  ................................................... ........Fax: ...........................................................

   E-mail    :  ..................................................................................................................................

   Contact Person: ...........................................................................................................................

   Date:  .................................................................................. 

   INDIVIDUAL
   Name     :  ...................................................................................................................................

   Address  :  ....................................................................................................................................

                        ....................................................................................................................................

                       ....................................................................................................................................

    Tel      :  .............................................................. Fax: .........................................................

    E-mail   :  ...................................................................................................................................

    Institution: .......................... ........................................................................................................

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                        ....................................................................................................................................

    Position  : ....................................................................................................................................

     Date     : ..................... ................................................ 

 



Send your application via email to Mrs. Elizabeth T. Pulanco, Convenor:
email: btpulanco@gmail.com
and cc. to Ms. Hilda V. Putong, Secretary, email: hildakorpala@yahoo.com

  or by mail or by fax to Mrs. Elizabeth T. Pulanco, Convenor
                Philippine Baptist Theological Seminary
                P.O. Box 7, 2600 Baguio City, Philippines
                Phone: +63-74-4457490
                Fax: +63-74-3002863
  

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