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Membership Form

The document contains a membership application form for the Philippine Librarians Association (PLAI). It lists the PLAI headquarters address and contact information. It provides details on membership fees of P800 for new members and P300 for renewals. It requests applicants to fill out their personal and professional details like name, address, employer, contact information, position, and licensure details. It also provides payment instructions to deposit fees at a specified BDO bank account.

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Oliveth Pito
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124 views1 page

Membership Form

The document contains a membership application form for the Philippine Librarians Association (PLAI). It lists the PLAI headquarters address and contact information. It provides details on membership fees of P800 for new members and P300 for renewals. It requests applicants to fill out their personal and professional details like name, address, employer, contact information, position, and licensure details. It also provides payment instructions to deposit fees at a specified BDO bank account.

Uploaded by

Oliveth Pito
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PHILIPPINE LIBRARIANS ASSOCIATION, INC.

(PLAI)
Member, International Federation of Library Associations and Institutions (IFLA)
Member, Congress of Southeast Asian Librarians (CONSAL)
PLAI Headquarters, Rm. 301, 3/F, The National Library of the Philippines Building
T.M. Kalaw St., Ermita, Manila 1000, Philippines
Mobile: 0998 992 2267 | www.plai.org.ph | [email protected], [email protected]

FOR THE TREASURER:


Membership Fee: P800.00*
PLAI OR No. : ________________
*P500 for membership fee + P300 membership due for the year
of application
Renewal/Annual dues: P300.00 per year

REGIONAL COUNCIL: ____________________________________________________________

NAME: ___________________________________________________________________________________
SURNAME FIRSTNAME MIDDLE NAME

HOME ADDRESS: ______________________________________________________________________

EMPLOYER: ______________________________________________________________________

ADDRESS: ______________________________________________________________________

PHONE: _______________________

FAX: _______________________

EMAIL: _______________________

MOBILE: _______________________

PRESENT POSITION/DESIGNATION: ___________________________________________________

PRC LICENSE: _______________________

EXPIRATION DATE: _______________________

DATE OF PAYMENT: _______________________

MODE OF PAYMENT (Cash/Check/Bank Deposit): _______________________

• Accomplish this form and send it together with a copy of the deposit slip, with your name
written on it, to [email protected]

• Payment maybe be deposited to:


Bank Name: BDO
Account Number: 451 000 1102
Account Name: Philippine Librarians Association, Inc.

Any information provided in this form will be used solely for the purpose of updating the membership
record.

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