On-Line Registration      Seminar 1 2009                

 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 

   

 Select One  

 
 
 Address for the account

Street Address

Address (cont)

City

State/Province

Zip Code

Country

Promo Code   44

 

 

 

 
Conference Cancellation and 
    Refund Policy 
    
Notification of your cancellation must be received in writing by 3/31/2009, 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 3/31/2009, and has an administrative cost of $50.00 after that date.




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