Membership Test

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Where are you located:

First Name:

Middle Initial:

Last Name:

Gender:
MaleFemale

Birthdate:

NOTE: For other browsers, please use this date format YYYY-MM-DD

Company Name:

Email Address:

Office Phone:

Most complete fiscal year:

Number of Full Time Employees:

Most recent complete fiscal year’s sales:
(billions) (millions) (thousands)

How did you hear about YES Philippines?:

Other Referral:

BUSINESS AND CONTACT INFORMATION

Company Name:

Annual Company Revenue:

Title:

Role in Company:

Date Company Founded:

Industry:

Company Address:

Company Description (10 words or less):

Address Line 2:

City:

State/Province:

ZIP/Postal Code:

Country:

Company URL:

Email Address:

Office FAX:

Mobile No.:

Where do you wish your YES Mail to be sent? WorkHome

PERSONAL INFORMATION (OPTIONAL)

Home Address Line 1:

Attach 1x1 picture

Home Address Line 2:

Home Phone:

City:

State/Province:

ZIP/Postal Code:

Biography: Tell us about yourself and why you wish to join YES Philippines

PAYMENT INFORMATION

DELIVERY OF CERTIFICATE

New Membership (Php 2,500.00)Membership Renewal (Php 2,500.00)Honorary Membership (per board approval)Associate Membership (for students only)

Please check your option:
Pick up at YES Office. (With schedule arrangements of at least one day)Via courier with additional fee of Php 300
Please check your preferred Mailing Address HomeBusiness

ACCEPTANCE OF SUBSCRIPTION

I declare that all of the information contained in this application is true and correct and I agree to provide any supporting documentation requested by the Institute. If accepted, I agree to abide by the Young Entrepreneur Society’s Code of Professional Conduct and Continuing Professional Education requirements. I understand that I must renew my subscription annually to enjoy the services provided by the Society including eligibility privileges and retention of professional designation.

Digital Signature:

Date Signed:

NOTE: For other browsers, please use this date format YYYY-MM-DD

Enter email address where you want to receive confirmation of your application.

NOTE: Please review your application before submitting the form.