R E G I S T R A T I O N    F O R M

Today's Date:   Ex:  18 Aug 00
Last Name (Core):   Ex:  Banez
First Name (Core):   Ex:  Dante
Middle Name (Core):   Ex:  Sabado
Sex:   Ex:  Male
Street Address:   Ex:  P.O. Box 7307
City/Town:   Ex:  Stockton
State/Province:   Ex:  California
ZipCode:   Ex:  95267
Country:   Ex:   U.S.A.
Telephone:   Ex: 
E-mail:   Ex:  DanBanez
     
Last Name (Proxy):    
First Name (Proxy):    
Middle Name (Proxy):    
Sex (Proxy):    
Street Address (Proxy):    
City/Town (Proxy):    
State/Province (Proxy):    
ZipCode (Proxy):    
Country (Proxy):    
Telephone (Proxy):    
E-Mail (Proxy):    
     

Copyright © 2000 (Abra Multi-Purpose Cooperative)  All rights reserved.
Revised: August 22, 2000

LIST OF MEMBERS

The following individuals have expressed their intent to join the
Abra Development Multi-Purpose Cooperative!

Note: If you haven't filled out the online registration form yet, please do it ASAP, so that we have your personal info on our database!
Last Name First Name Sex City/Town State/Province Country
BALDERAMA Vilma Female Oceanside California USA
BANEZ Dante Male Stockton California USA
BERSALONA Carmelita Female Bangued Abra Philippines
BOBILA Freddie Male Unavailable Unavailable USA
BRINGAS Eric Male Bangued Abra Philippines
BRIOSO Gerry Male Kuwait City   Kuwait
PARADO Vito Male San Jose California USA
PUDOL Eduardo Male Balanga Bataan Philippines
TAGORDA Carmelita Female   Hawaii USA
           
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