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| Login Details |
| User Name: |
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| Password: |
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| Re Type Password: |
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| Company Details |
| Company: |
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| Address: |
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| Municipality/City: |
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Province: |
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| Zip Code: |
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Phone No.: |
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| Fax No.: |
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| Industry: |
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| Products/Services: |
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| Representatives' Information |
| Official Representative |
| First Name: |
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| Last Name: |
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| Job Title: |
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| Educational Attainment: |
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| Current Job Areas of Coverage: |
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| Year/s in the Company: |
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Year/s in Purchasing: |
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| Email Address: |
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Mobile No.: |
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| Birthday: |
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| Sports: |
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| Immediate Supervisor: |
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| Position Title: |
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| Alternative Representative |
| First Name: |
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| Last Name: |
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| Job Title: |
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| Educational Attainment: |
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| Current Job Areas of Coverage: |
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| Year/s in the Company: |
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Year/s in Purchasing: |
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| Email Address: |
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Mobile No.: |
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| Birthday: |
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| Sports |
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| Immediate Supervisor: |
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| Position Title: |
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| To process your application, please attach the following: |
| Membership Type: |
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| Payment Information |
| Corporate Membership |
Php8,000 (7,000 Annual Fee + 1,000 Entrance Fee) |
| Individual Membership: |
Php3,500 (3,000 Annual Fee + 500 Entrance Fee) |
| Please make check payable to: |
Philippine Institute for Supply Management |
| Or deposit to: |
Philippine Institute for Supply Management Account No: 0201-0494-07 Bank of Philippine Islands Pasig Ortigas Branch |
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| By submitting this application, I agree to abide by the PISM Bylaws |
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