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WG SOLHEIM FOUNDATION FOR PHILIPPINE ARCHAEOLOGY |
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MEMBER DATA CARD
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LAST NAME |
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FIRST NAME |
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MIDDLE NAME |
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BIRTHDAY |
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NATIONALITY |
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ADDRESS |
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TELEPHONE |
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FACSIMILE |
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Community Tax No. |
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Place Issued |
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Date Issued |
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Passport No. |
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Place issued |
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Date Issued |
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Contribution: |
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Other Information: |
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SIGNATURE: |
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Please fill out and send the form to:
Membership Office of the Solheim
Foundation
c/o Archaeological Studies Program
University of the Philippines
Palma Hall Basement
Quezon City 1101
Philippines
Fax: +63 2 924-1836