30th PATACSI ANNUAL CONVENTION

30th PATACSI ANNUAL CONVENTION

30th PATACSI ANNUAL CONVENTION

Please make sure to fill in the required fields and submit this form to complete your order. Once payment has been made, your registration will be APPROVED.
My Products
prevnext( X )
WORKSHOP I: PracticalApplications of Cryotherapy and Argon Plasma Coagulation in Thoracic Surgery
FreePHP Quantity



WORKSHOP II: BasicNon-Invasive Physiologic Vascular Evaluation
FreePHP Quantity



WORKSHOP III: CyanoacrylateGlue for Chronic Venous Insufficiency
FreePHP Quantity



WORKSHOP IV: VeinMapping and Surveillance Post-AVF Creation – Ensuring Long-Term Access Patency
FreePHP Quantity



WORKSHOP V: LIVE SURGERY – LIMITEDSLOTSEndoscopicVein and Radial Artery Harvest
FreePHP Quantity



WORKSHOP VI: LIVE SURGERY – LIMITEDSLOTSMinimallyInvasive Valve Repair / Replacement
FreePHP Quantity



PATACSI 30th Annual Convention
REGISTRATION FEE: PATACSI Fellows - P2,500 Non-PATACSI Fellows - P2,500

2,500.00PHP Quantity



PATACSI 2025 ANNUAL DUES
For BACK DUES, please contact our Secretariat

7,000.00PHP Quantity



PATACSI 2025 FELLOWS ASSISTANCE PLAN
For PFAP back dues, please contact our Secretariat

500.00PHP Quantity



PATACSI ANNUAL FELLOWSHIP NIGHT
EXCLUSIVE for PATACSI Fellows and Inductees only

FreePHP Quantity



PATACSI Women's Barong Version 1
with PATACSI LOGO embroidery. Barong sizes will still be BASE on your measurements

7,000.00PHP QuantitySIZES



PATACSI Women's Barong Version 2
with PATACSI LOGO embroidery. Barong sizes will still be BASE on your measurements

7,000.00PHP QuantitySIZES



PATACSI Men's Barong
with PATACSI LOGO embroidery. Barong sizes will still be BASE on your measurements

7,000.00PHP QuantitySIZES



PATACSI Polo Shirt
With PATACSI logo 3 color combination Please refer to the SIZING Chart

700.00PHP QuantitySIZES



PATACSI Jacket
Front and back embroidered logo All sizes Brush twill fabric Inner lining. Please refer to the SIZING Chart

2,000.00PHP QuantitySIZES



PATACSI Umbrella
double canopy umbrella

600.00PHP Quantity



PATACSI PIN
500.00PHP Quantity



Total

0.00PHP
FULL NAME (as what is indicated on your PRC ID)*

First Name & Middle NameLast Name & Suffix (Jr, II, III, etc)
E-mail*
example@example.com
PRC ID (7-digit number)*
Format: 0000000.
PATACSI FellowPATACSI Senior FellowPBTCVS DiplomatePATACSI TCVS GraduatePATACSI Fellow-in-TrainingAllied Health Professionals
PAYMENT OPTIONS
UPLOAD your PROOF OF PAYMENT*
PAYMENT OPTIONS
Please SIGN*

Powered by Jotform SignClear
Should be Empty: