subscription form


METHOD OF PAYMENT (Please check one)

  PAY CASH at the OVCRD (See address above)

  PAY IN CHECK (Please make check payable to the University of the Philippines Diliman-OVCRD)

  MONEY REMITTANCE (Payable to NARITA E.C. DE LAS ALAS, c/o OVCRD Research Dissemination and Utilization Office, with office address
       as indicated above and mobile phone no. 09209605857)

SUBSCRIBER DETAILS

NAME/INSTITUTION _________________________________________________________________________________________________________

CONTACT PERSON
(For Institutional Subscribers) _____________________________________________________________________________________________

MAILING ADDRESS _____________________________________________________ EMAIL ADDRESS _______________________________

_____________________________________________________ TELEPHONE NO. _______________________________

___________________________________________________      FAX NO.  ________________________________________

Please send accomplished Subscription Form to the RDUO-OVCRD via email or fax (please see above for contact details). If mode
of payment is through money remittance, please send proof of remittance together with the accomplished Subscription Form.

RESEARCH DISSEMINATION AND UTILIZATION OFFICE
OFFICE OF THE VICE-CHANCELLOR FOR RESEARCH AND DEVELOPMENT
Lower Ground Floor, PHIVOLCS Bldg. , C.P. Garcia Ave. , UP Diliman 1101 Quezon City
(02) 436-8720  Fax (02) 927-2568   research.dissemination1@upd.edu.ph

JOURNAL SUBSCRIPTION FORM
NOTE: This Subscription Form is for the three journals published by UP Diliman through its Office of the Vice-Chancellor for Research and
Development (OVCRD), as follows: Humanities Diliman, Science Diliman, and Social Science Diliman. Each journal is published twice a year.
The subscription price for each journal (vols. 1 and 2) is Php650.00. (Subscription price is subject to change without prior notice.)

I/We would l ike to subscribe to the following journal/s:

JOURNAL TITLE
(please check)

NUMBER OF SUBSCRIPTIONS
(for each journal, please indicate desired

number of copies)

TOTAL AMOUNT
(number of subscriptions

x Php650)

 HUMANITIES DILIMAN

 SCIENCE DILIMAN

 SOCIAL SCIENCE DILIMAN

GRAND TOTAL