Name: Primus Hotel & Resort
Address: KM9, Pacol Road, Caceres Heights Resort Subd., Brgy. Pacol, Naga City, Camarines Sur, 4400, PH
Telephone: +639175069156
Price range: $$

1 Member Information

2 Employment Details

3 Spouse Information

4 Payment

Name*
First Last
Name to appear on card*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of Birth*
Date Format: MM slash DD slash YYYY
Email*
Mobile Number*
Landline*

Employment Details
Company Name
Position
Employer Contact Details
Office Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Office Email Address
Office Landline
Office Mobile

Marital Status
- Single
- Married
Spouse Information
Spouse's Name*
First Last
Spouse's Email Address*
Spouse's Date of Birth*
Date Format: MM slash DD slash YYYY
Spouse's Mobile Number*
Order Supplementary Card for Spouse?*
- Yes
- No

Fees
Membership Fee
Price: Php 6,800.00
Supplementary Card
Price: Php 500.00
Total
Php 0.00
Payment
Payment Methods*
- Bank Deposit
- Credit Card via Paypal
Email
This field is for validation purposes and should be left unchanged.

FAMILY SIZED

Deluxe Room

Premium Rooms

EVENTS

VENUES

FAMILY SIZED

Deluxe Room

Premium Rooms

EVENTS

VENUES

Employment Details

Employer Contact Details

Spouse Information

Fees

Payment

FAMILY SIZED

Deluxe Room

Premium Rooms

EVENTS

VENUES

FAMILY SIZED

Deluxe Room

Premium Rooms

EVENTS

VENUES

Membership Form

Employment Details

Employer Contact Details

Spouse Information

Fees

Payment