2013-2014 Membership Renewal
Please fill out the online application form or download
membership form here.
Membership Fees:
0-40 student/minimum [Php 1,000.00]
41 student and above [Php 25 X number of student]
Payment Options:
1. Make checks
payable to ACSI Philippines and mail to ACSIPhilippines, UG15 Cityland Pioneer Building, 128 Pioneer Street. 1550 Mandaluyong City
2. Deposit payment to:
ACSI Philippines: Account#:1891-0533-86; Branch: BPI Mandaluyong-Pioneer Branch.
(Please fax filled out application form and validated deposit slip with school name to (02) 638 2903 or email to
acsi_philippines@acsiphils.org
3. Credit Card.
Please provide a
valid email address
on the box options provided on the next page. A secure link will be sent to that address to verify and complete payment transaction. For questions, call
(02) 747 2973
.
PART I SCHOOL INFORMATION.
It is important that ALL information be current and complete.
School Profile
Member Number:
*
School Name:
*
Mailing Address:
*
Mailing City:
*
Zip Code:
*
Valid School Email:
School Website:
*
Phone:
Fax:
*
Administrator's/Director's Name:
*
Email:
*
Mobile:
Students and Teachers Population
Number of Students
Number of Teachers
EE/Kindergarten
EE/Kindergarten
Elementary
Elementary
High School
High School
Special Ed
Special Ed
College
College
*
Total Number of Students
*
Total Number of Teachers
*
Name of School Head/Authorized Representative
:
*
Date of Application
*
Indicates Response Required
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