APECA 16th Biennial

Conference Registration Form

Theme: "Positive Psychology and Counselling for Life-Long Learning"
July 26-28,2006)

Name:__________________________________________________________________________

Address: ______________________________________________________________________

• I will present a 20-minute paper entitled
  ______________________________________________

•  I will conduct a 3-hour workshop on
  ______________________________________________

•  I will just attend the conference.

•  I am interested in taking a one day tour on July 29 (additional fee).

Attached herewith is my payment for the conference fee in the amount of
________________________________________________________________________________

Conference fees (non-refundable but transferable) if paid by:

April 1 ,2006          -   PhP 4,000.00/member
PhP 4,500.00/non-member

May 1,2006           -    PhP 5,000..00/member
PhP 5,500..00/non-member

        June 1, 2006 onward  -     PhP 6,000.00/member
PhP 6,500.00/non-member

APECA Account

United Coconut Planters Bank

Aguirre Branch, Makati City, Philippines
Peso Acct# 123-1-05975-0

*Hotel Rates (there are less expensive accommodation nearby)
Approx:  PhP 1,700.00/person/day for twin sharing with breakfast

PhP 2,500.00/person/day for single room with breakfast

For Hotel Reservation please contact Cebu Midtown Hotel, Fuente Osmeña, Cebu with phone# 032 2539711
or fax to 0322539763 or email: cmhsales@skyinet.net

Deadline for abstracts:  April 1, 2006 - Final program inclusion upon approval of Committee and payment of fees.

Please fax to Imelda Villar (632) 524-7786 or (632) 521-2593; (632)831-5195;
or Email imeldavillar@yahoo.com or emyvil@hotmail.com

or send to APECA President-Elect at 3423 Guernica Street, Palanan, Makati City, 1235 Philippines