Program Registration Form

JSMUAANA Annual Rereat 2021
  • Program registration Area
  • Select the segment where you want to participate
  • Registration Fee *:  $100.00
  • CME Fee (8:00 AM- 12:00 Noon On Nov. 5 & 6) :  $100.00 - Capacity= 100 Avaiable= 91    $0.00
  • Dinner Cruise (On Friday Nov-5 from 5:00-8:00 PM) :  $110.00 Per Person - Capacity= 110 Avaiable= 75
    Disclaimer: Only for JSMUAANA members and family.
       $0.00
  • Banquet dinner (On Saturday Nov-6 at 7:30 PM) :  $125.00 Per Person - Capacity= 300 Avaiable= 270    $0.00
  • Class 89/90 Reunion (On Saturday Nov-6 From 12:00 Noon-2:00PM) :  $75.00 Per Person - Capacity= 150 Avaiable= 127    $0.00
  • Fee Total
  • Sub toTal : $
  • Processing fee 3.25%: $
  • Grand Total : $