28th April, 2014
To: Hospital Director / Nursing Director / Dean /
Operating Room - Delivery Room Manager /
Perioperative Nurse / Doctor / Support Team /
Professor / Student
Dear Sir / Madam:
Mabuhay
The Operating Room Nurses Association of the Philippines, Inc. (ORNAP) will
hold its 40th Annual Convention and Scientific Meeting on July 5 to 6, 2014 at
The Tent, Manila Hotel, with the theme “TEAMWORK and
TRANSPARENCY in PERIOPERATIVE NURSING”.
We have lined up strong and interesting topics for the convention, with the aim
of bringing together perioperative participants from different cities and provinces
to have exchange of ideas, education and professional development.
With these, we invited several renowned speakers to share their expertise on the
current and future trends in the advancement of perioperative nursing practices,
ethico-legal issues, surgery, anesthesia, leadership, management, as well as other
issues vital in nursing practice.
As such, we would like to seek your support by joining us in this significant
event.
Thank you very much and God Bless.
Sincerely yours,
ELESA B. MANAHAN, RN
Vice-President
Over-All Chair, 40th Annual Convention and Scientific Meeting
Noted by:
FLOR P. BURGOS, RN, Ed.D
President
CONVENTION REGISTRATION FORM
Important Reminder: Fill up this form completely. Use communication below
to be sent back to ORNAP.
WAYS TO REGISTER:
Email Address : [email protected]
Website
: www.ornap.org
Bank
: Metrobank
Branch:
G/F Manila Doctors Hospital, United Nation Avenue Branch,
Ermita, Manila
Account No.
: 044 7000 945 443
Paid To
: Operating Room Nurses Association of the Philippines, Inc.
(ORNAP)
1. CONTACT INFORMATION:
Surname
First Name
Middle Name
PRC License No: ______________Expiry Date: ____________Title: _______________
ORNAP Membership ID No.______________ New _____Regular _____Lifetime______
Email: (required to receive registration confirmation) ____________________________
Facility/Workplace: _______________________________________________________
Work Address: __________________________________________________________
Home Address: __________________________________________________________
2. CREATE YOUR PROFILE:
1. How many years have you attended ORNAP Convention?
_____1-3 years
______8-10 years
_____4-7 years
_____11 years and above
2. What best describe where you are employed?
_____Private
____Government
____Clinic ____School
____Vendor
_____Community Hospital ____ Manufacturer ____Others____________________
3. What represents your area of specialty?
_____OR ___DR ___E.R ___Ward ___Endoscopy ___ICU ___Coordinator
_____Educator/Staff Development____ Others__________________________________
4. What represents your position?
_____Director ___Dean ___Manager ___ Professor ___Doctor ___Consultant
_____Staff Nurse ____ Sales/Marketing Specialist
____Student
____Technician
_____Others_____________________________________________________________
3. REGISTRATION CATEGORY:
PRE-REGISTRATION: (Until June 16, 2014)
Lifetime member
Php 4,000.00
Regular Member
Php 4,200.00
Non-member
Php 4,500.00
ON SITE REGISTRATION: ( June 17 to July 7, 2014)
Lifetime member / Senior Citizen Php 4,200.00
Regular Member
Php 4,500.00
Non-member
Php 4,700.00
MEMBERSHIP: Acceptance of membership for the next TERM of office - Fiscalyear
will start on April 01, 2014.
New member
Php 300.00
Renewal
Php 300.00
Lifetime membership
Php 3,000.00
NOTE: Convention registration and membership are all VAT inclusive. Kindly
download MEMBERSHIP application forms at ORNAP website www.ornap.org
REGISTRATION TERMS AND CONDITIONS:
Mode of Payment: ___Cash ___Bank ___ Cheque Account No._______________
Php_____________________ Bank: _________________________________________
Branch: ________________________________________________________________
For cheque, bank to bank transactions, the original copy of validated deposit slip shall be
presented as proof of payment and for issuance of receipt.
For proof of payment, email in PDF form to [email protected]
Pre-registration payment shall be based on the deposit slip.
CANCELLATIONS: Fees are non - refundable.
SUBSTITUTIONS: Substitutions may be made at any time for confirmed registrants.
Notice of substitution MUST be made in writing and emailed to [email protected]
___________________________
Signature of Participant
_______________________
Date
If you need assistance please contact the following:
NAME of BODs
CONTACT NUMBERS
FLOR P. BURGOS, RN
CP No. 09228560317 / 09175139723
ELESA B. MANAHAN, RN
CP No. 09256100349
REDENTA C. MAMACLAY, RN
CP No. 0922892670
MICHELLE ARBAN, RN
CP No. 09163192785
JEOVIE F. JOYA, RN
CP No. 09325771531 / 09989095335
LYDIA B. DECASTRO, RN
CP No. 09196087428 / 09159385178
GABRIEL F. NAIG, RN
CP No. 09196087428
JANE ETHEL C. YRAOLA, RN
CP No. 09228145905 / 09175439859
ANALYN H. SALIVIO, RN
CP No. 09217230902
CRISTINA B. TRINIDAD, RN
CP No. 09178691101 / 09088607449
WESTPHALIA G. PATINO, RN
CP NO. 09196772675 / 09067334553