8th footballcup

8th ECCP Football Cup 2014-05-14 29 June 2014,Sunday Don Bosco Technological Center , Pleasant Homes Subd. Punta Princesa, Cebu

REGISTRATION FORM Please fax back to (032) 412-1194 / (032) 253-3389 or email to karen.pintac@eccp.com or kim.fernando@eccp.com

Deadline: June 6, 2014

Name of Team: Division: Names

Date of Birth

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I, , coach of the certify that the information provided is accurate. Furthermore, the team is aware that Football is a contact sport. Hence, we do not hold the organizers, officials and players liable for any injury caused by accident or by the toughness of the competition. Moreover, the team agrees to abide by the tournament rules, regulation and code of conduct.

Signature: Address: Contact number/s:

PAYMENT MODE REGISTRATION FEE (Please CHECK)

ECCP MEMBERS 1 Team 2 Teams

PHP. 3,000.00 PHP. 2,700.00

ECCP NON-MEMBERS 1 Team 2 Teams

PHP. 3,200.00 PHP. 3,000.00

PAYMENT: (Please choose your preferred payment option) Check for Deposit ECCP ACCOUNT DETAILS: Account Name: ECCP Account no.: 000-009621-040 Bank: HSBC, Ayala Avenue Account Name: European Chamber of Commerce of the Philippines Account no.: 1021-0241-43 Bank: Bank of the Philippine Islands (Please email the deposit slip to kim.fernando@eccp.com and call us at (032) 412-1194 to notify us that payment has been made)

Direct Payment to ECCP Office Cebu ECCP Cebu Office DOST Banilad S & T Complex, Gov. M. Cuenco Ave. Banilad Cebu City

NOTE: Pre-Registration is REQUIRED. Cancellation or Request for refund will be accepted if notification is given in writing at least 3 working days prior the event, otherwise, full participation fees will be charged.