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Friends of EPCALM Form
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EPCALM Adult Leukemia Foundation of the Philippines, Inc.
www.epcalmfoundation.org

 

SEC Reg. No.: CN 200919996
TIN: 007-548-618-000

#23 13th Street, New Manila, Brgy. Damayang Lagi, Quezon City, Metro Manila, Philippines 1112
Land Line: (+6
32) 8727-5012

Cell Nos.: (+63) 919-955-6149 (Smart)

(+63) 905-928-9896 (Globe)

E-Mail: epcalm@epcalm.org

DATA PRIVACY DISCLAIMER: Your privacy is important to the EPCALM Adult Leukemia Foundation of the Philippines. EPCALM collects the data you enter in this Registration Form for purposes of signing you up. EPCALM will not sell or disclose your personal data to other parties without your consent. By submitting this Registration Form, you consent to the processing of the entered information by EPCALM. Please be advised that any personal information you have voluntarily shared with us will be governed by our Data Privacy Policy.

Click to register patient
SPIRITUAL ARM
MEDICAL ARM
FINANCIAL ARM
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Additional Information about myself:

I understand the Mission, Vision, Purposes and Thrusts of the Foundation and am interested and willing to be part of this organization, as a non-voting member. I am also willing to attend seminars, trainings and/or undergo testing (for blood donors) necessary to equip me to do the tasks and activities that I have volunteered for above, as needed.

Thank you! We’ll be in touch.

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