MEMBERSHIP APPLICATION FORM
MEMBERSHIP FEES::

Active Member (1 year) .............. $25.00
Associate Member (1 year) .........$20.00
Student Member (1 year)..............$15.00
"To serve the community, the profession, and the person."
Complete this form, print and then mail to the address above with your check or money order
payable to PAMET-NV
Or complete this form then click                                                  

OFFICERS
2012-2013

VIRGINIA GAMBON QUINTIN
President

DR SHIRLEY CRUZADA
President-Elect

NELLY ALMOINA
1st Vice President

REMY BATEAU
2nd Vice President

LISA CABILING
Recording Secretary

MILA LUISIMA
Corresponding Secretary

EARLYN YUZON
Treasurer

RAMIE HOLDER
Asst. Treasurer

ALEX QUINTIN
Auditor

CRISTINA BALMES
MARIEFEL ARCIAGA
Public Relation Officers

SONIA MAJORS
Business Manager

BOARD MEMBERS
Romy Dublin
Romy Guideng
Angel Mercado
Requirido Valdevieso

ADVISERS
Evelyn Sayre
Leopoldo Fabriquier
Lydia Coleman
Ferdinand Destura

Fita Cabardo Lim
Immediate Past President

www.pametnevada.org
You will hear from the association as soon as your completed application form is received.
PHILIPPINE ASSOCIATION OF MEDICAL TECHNOLOGISTS - USA. Inc

P A M E T - U S A  -   N E V A D A   -   C H A P T E R

2746 Auchmull St. <> Henderson <> Nevada <> 89044

www.pametnevada.org
New
Renewal
A check for the amount of $____for___year(s) membership  is enclosed