AGREEMENT FORM
Date: ______________
I, _______________________________, a Bachelor of Science in Medical Technology (BSMT)
student of the College of Allied Medical Sciences (CAMS), willingly express my support for the
WU-P CAMS Team Dance who will represent PHISMETS Central Luzon in the upcoming
PHISMETS National Congress to be held on October 22, 2025, at Manila Central University,
Caloocan City.
I hereby agree to contribute the amount of ₱50.00 (Fifty Pesos Only) as part of the team’s support
fund. This contribution will be used to assist the team in their preparation and participation for the
said national event.
I fully understand that this contribution is voluntary and exclusive to BSMT students of Wesleyan
University – Philippines, serving as a gesture of unity and support for our college representatives.
As proof of my voluntariness and support to contribute ₱50.00, below herewith is my complete
name and signature.
Name: ____________________________________
Course & Year: _____________________________
Signature: _________________________________
Date Signed: _______________________________
GEN-FM-019 Rev 3 Effective 1 Oct 2024