MODES OF PAYMENT
Name of Delegate : ____________________________
Amount : ____________________________
$ 300 - ISS/AOCNA Member
$ 350 - Non ISS/AOCNA Member
$ 200 - Resident/Trainee
To (Bank) : Bank of the Philippine Islands
Address : 279 E.Rodriguez Sr. Ave, Quezon City, Philippines
SWIFT Code : BOPIPHMM
For account of : Philippine League Against Epilepsy Inc.
Account No. : 3891-0090-02 (Current Account)
IMPORTANT : Please send scanned copy of the BANK Transfer to complete your registration:
Kindly click on payment button to complete your registration. Thank you.
(Make sure you have completed the Registration form found on the registration tab.)