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Y Pesos (P250.00) Monthly monetary contribution of (please check appropriate box) One Hundred Pesos (P100.00) Others (please specify) IN WITNESS WHEREOF, I have hereunto set my hand this day of , , at Signature Over Printed Name Address (residence) E-mail address Contact No. Cellphone No. Landline No. Fax No. Office Tel. No. : : : : : :.

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