On-Line Registration      Seminar 1 2010               


 Our online transactions are handled with an industry-standard SSL (Secure Sockets Layer) encryption. When you enter your credit card number into our order form, it is encrypted (scrambled) while the order is in transit via a 128 bit encrypted server.  If you would prefer not to use this form then click here to access our PDF form to fax your registration.

First Name

Last Name

Job Title

Company

Street Address

Address (cont)

City

State/Province

Zip Code

Country

Work Phone

Home Phone

FAX

E-mail

If we need to contact you please use :

APICS Membership No (if Applicable) 

Enter any Certifications held here 

 Example:     CPIM     CFPIM      CIRM     JONAH     CPM

Credit Card Information

  Visa                     MasterCard              American Express  

Card Number

Account Name

Expiration Date 

   

                          
Current pricing is guaranteed until March 31 2010
 
 Select One  
 

Promotional Code

(Optional)

  Note, if you use a promotional code your discount will

be applied when we processed your credit card order.
 Address for the account

Street Address

Address (cont)

City

State/Province

Zip USA

 

 

 Please validate this registration by entering the Authorization Code # below in this box           

 

Conference Cancellation and Refund Policy 

Notification of your cancellation must be received in writing by 4/15/2010, and will be subject to a $125 cancellation charge. No refunds after that date. In lieu of cancellation, you may transfer your registration to another Seminar 1 year. This is free prior to 4/15/2010, and has an administrative cost of $50.00 after that date.


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