| Dear Sir/Madam: |
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I shall be glad to be a member of the PMHA for the cause
of mental health in the country. |
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Please choose the kind of membership
below. Annual membership fee is quoted in Philippine currency
(Philippine Peso). |
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I pledge to pay my membership fee: |
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| for the year |
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| in the amount of |
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| in form of |
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Please fill in your
personal information below. Fields with asterisk are required to be filled up.
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