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Please Register Online Using This Form
* Required Field
Your name:
*
Chapter:
Batch:
*
*
Nickname:
Celfone:
Tel. Home:
Address:
*
City:
*
Zip/Postal Code:
State:
Country:
*
*
Email Address:
One free BarkoBarkada shirt per paid registrant:
*
Gender (Male / Female):
*
Shirt Size ( SM / M / L / XL ):
Shirt Type (Collared / Crewneck):
*
To order additional shirt ($5.00 extra), please use the comment section below;
indicate the gender, size, type of shirt, and the number of shirts.
Also, please use the comment section for additional order of the
BarkoBarkada Souvenir Book; one free copy per paid registrant; and for
additional copy, a $10.00 extra.
Sports Activities interested in (Golf / Tennis):
Comment:
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