NOVEMBER 23 – 25, 2023

Virtual Only

Name:*

First Name Required Last Name Required

Age:* Age is Required

Gender:* Gender is Required

Male Female

Name of Hospital: Name of Hospital is not valid

Cellphone Number:* Cellphone Number is Required

Upload the Deposit Slip Image:* Upload the Deposit Slip Image is Required

Email:* Invalid Email

BANK DETAILS

PAYMENT OPTIONS

Over the Counter/Online Banking /Gcash to Bank PSA website: psa-inc.org

PESO ACCOUNT

BPI Account Number: 4433-1136-03
Account Name: Philippine Society of Anesthesiologists, Inc.

Landbank Account Number: 0711-0635-44
Account Name: Philippine Society of Anesthesiologists, Inc.

DOLLAR ACCOUNT

BPI Account Number: 4434-0395-47
Account Name: Philippine Society of Anesthesiologists, Inc.
SWIFT CODE: BOPIPHMM

FOR INQUIRIES: PSA Secretariat Mobile Numbers
Globe: 09178329069 / Smart: 09209522120
Landline: 8452-2058/8929-5852
Email: psainc_sec@yahoo.com

No val Please fix the errors above

Pay

₱8,209.50 for access until 25 November 2023

	55th Annual Convention and Post Graduate Course - Foreign Delegate (Virtual Only) – Payment ₱8,209.50 for access until 25 November 2023	₱8,209.50
	Total	₱8,209.50

55th Annual Convention and Post Graduate Course - Foreign Delegate (Virtual Only) – Payment

₱8,209.50 for access until 25 November 2023

₱8,209.50

Total

₱8,209.50