UVAE Enrollment Form

This enrollment form is to be complied during the enrollment phase.

This is part 1 of 2 forms. The next one will be a survey for Interns and/or 5-day Unique VA Event challengers.

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* 1. Name

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* 2. Email

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* 3. Shipping Address (Complete Address)

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* 4. Mobile Number

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* 5. Preferred UVAE Customized Shirt Color

White

Black

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* 6. Shirt Size

S

M

L

XL

XXL

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* 7. UVAE Program

Monthly Internship Subscription (PHP 2,999 billed monthly)

5-day Unique VA Event/Challenge (PHP 999/event)

UVAE Valentine Promo (PHP 999 + PHP 2,000 discounted prize)

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* 8. Preferred VA Course

SMM

GVA

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