SUBSCRIPTION FORM CONFIRMATION
REVIEW your information and make sure it is accurate before submitting.
SUBSCRIBER INFORMATION
FIRST NAME
LAST NAME
ID NUMBER
DEGREE PROGRAM
SCHOOL
ARE YOU AN ALUMNI?
WERE YOU TRANSFERRED FROM ANOTHER YEARBOOK?
IF YES, FROM WHICH YEARBOOK EDITION?
PACKAGE OF CHOICE
EMAIL ADDRESS
CONFIRM EMAIL ADDRESS
CONTACT NUMBER
LANDLINE NUMBER
FLOOR/UNIT/BLOCK
STREET
BARANGAY
SUBDIVISION/BUILDING
CITY
PROVINCE
REGION
ZIP CODE
LANDMARK
AUTHORIZED PERSON TO CLAIM
RELATIONSHIP OF AUTHORIZED PERSON
CONTACT NUMBER OF AUTHORIZED PERSON
By clicking SUBMIT, you had validated the abovementioned information is correct.
A confirmation email will be sent to the email you registered on the application form.
If you had not received any, kindly check your spam or email us at adastra.staff@benilde.edu.ph.