Fill in this form and send to the address below:

Membership fee : Personal: USD 25/ 4 years, Institution: USD 50/ 4 years

Membership Application

INSTITUTIONAL 
Institution : .................................................................................................................................. 
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Address : ...................... ........................................................................................................... 
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Tel : ................................................... ........Fax: ........................................................... 
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Contact Person: ........................................................................................................................... 

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

INDIVIDUAL 
Name : ................................................................................................................................... 
Address : .................................................................................................................................... 
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Tel : .............................................................. Fax: ......................................................... 
E-mail : ................................................................................................................................... 
Institution: .......................... ........................................................................................................ 
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Position : .................................................................................................................................... 
Date : ..................... ................................................ 

Send your application to: 

Rev. Arnel Z. Faller
Silliman University Divinity School Library
1 Hibbard Avenue, Dumaguete City, Negros Oriental, 6200 Philippines
E-mail: siermason@yahoo.com, arnelzfaller@su.edu.ph
	foratlf3@gmail.com