Membership Update Form

Company Profile
Company Name:
Company Address:
Telephone Number/s:
Fax Number/s:
Name of President:
Type of Industry The company is identified with
We are engaged in: ManufacturingMarketingServicesNationalityRegionality
Products being produced or distributed:
Type of service being offered:
Product Brands / Services being advertised:
Approximate advertising budget allocated for the current year, PHP:
% Percentage breakdown of the advertising budget by medium:
Advertising Medium Used Regularly:
Name of Advertising Agency/Agencies:
   
Official Representative
Name:
Nickname:
Designation:
Email Address:
Alternate Representative (1)
Name:
Nickname:
Designation:
Email Address:
Alternate Representative (2)
Name:
Nickname:
Designation:
Email Address:
Alternate Representative (3)
Name:
Nickname:
Designation:
Email Address:
Alternate Representative (4)
Name:
Nickname:
Designation:
Email Address:
Alternate Representative (5)
Name:
Nickname:
Designation:
Email Address:
note: all fields are required

 The information provided will be mainly for PANA use and processing. However, we may share the same with other PANA members who are interested to connect with    you for business purposes. In these cases, we assure that reasonable steps are taken for the protection of your information and that the same is used in a manner consistent with the provisions of the law.