The document is a membership form for a company to join an Environmental Practitioners Association (EPA). It requests the company name, address, nature of business, and contact information for up to two representatives which includes name, designation, phone numbers, email address, and date submitted. Notes at the bottom provide instructions to submit the form by mail or fax and details on payment methods to the EPA.
The document is a membership form for a company to join an Environmental Practitioners Association (EPA). It requests the company name, address, nature of business, and contact information for up to two representatives which includes name, designation, phone numbers, email address, and date submitted. Notes at the bottom provide instructions to submit the form by mail or fax and details on payment methods to the EPA.
Notes: Send this form through MAIL or FAX at the above address and fax no. Checks should be made payable to Environmental Practitioners Association (EPA). You can also deposit payments to Land Bank of the Philippines, Clark Branch with Current Account Number 15821015-11 . For details and other inquiries, please call the EPA Secretariat through CDC-EPD c/o Engr. Roie Magat, Ms. Mayflor Candelaria, or Ms. Yasmin Dizon.
