Online Seminar Registration Form

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Facebook Name* This field is required.
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Complete Full Name* This field is required.
First Name
Last Name
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Client's Phone Number* This field is required.
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Email* This field is required.
example@example.com
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Discount Code:
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Discount Effectivity
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SEMINARS:* This field is required.
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My Bag
0
My Bag
Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costPHP
ONLINE BUFFALO WINGS BUSINESS SEMINAR - JUNE 13, 2020 5:00 PMCooking Procedure | Serving Techniques | Product Info | Costing | Profitability | Operations | Bonus Topics
499.00PHPEdit
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Subtotal: 0.00PHP
DIGITAL MARKETING FOR BUFFALO WINGS BUSINESS - JUNE 12, 2020 5:00 PM (2HRS)Marketing Online | Digital Marketing Tools | Online Ads | Basic Marketing Graphics & Layouts
499.00PHPEdit
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Subtotal: 0.00PHP
Total cost 0.00PHP
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Mode of Payment:
Bank Deposit/Online Transfer:
BDO
000210574054
JAY R. DE ROSALES
GCASH / 7-11 / Palawan Remittance
RUTH SALGAN/BRICO INC.
Number: 09162564547
EASTWEST
2000-2109-4012
BRICO INC.
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DATE OF PAYMENT* This field is required.
mm-dd-yy
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Mode of payment selected* This field is required.
BDO
Gcash
Palawan Remittance
Eastwest
Others
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If others, please specify:
Mode of payment
12
Please upload your Proof of Payment* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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Notes:
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