(Choose Course to Register) 2012 Economic Outlook Conference, January 31, 2012, $100 Per person (multiple registrations of 5 or more - $85 SHRM Certification Course - SHRM Member, Feb. 7 - May 8, 2012, $925 SHRM Certification Course - SHRM Non-Member, Feb. 7 - May 8, 2012, $975 SFMI Week 2, November 5 - 8, 2012, $930 SFMI Week 3, November 5 - 8, 2012, $935 SFMI Exam Call to set date, $99 LeadersMark On Line Course, $249 Essentials of Human Resource Management, TBA, $525 REGISTRANT INFORMATION (press TAB to advance in the form) Once we receive your registration, you will receive a confirmation packet via mail.
*Registrant Name: Mr. Mrs. Ms Miss *Badge Name: Company Name: Position Title: Address: City: State: Zip Code (+4): - Business Phone: Extension: Business Fax: E-Mail Address: SHRM Member: No Yes (if so please provide number) Are you a University of Kentucky Alum: No Yes Degree year: No Yes (if so Degree years?) Are you a UK Gatton College of Business and Economics Alum: No Yes
*Registrant Name: Mr. Mrs. Ms Miss *Badge Name:
Company Name: Position Title:
Address: City: State: Zip Code (+4): -
Business Phone: Extension: Business Fax: E-Mail Address: SHRM Member: No Yes (if so please provide number)
Are you a University of Kentucky Alum: No Yes Degree year: No Yes (if so Degree years?)
Are you a UK Gatton College of Business and Economics Alum: No Yes
PAYMENT INFORMATION
Check (please do not send PO's) Credit Card - we accept Visa, Mastercard, and American Express (phone 800-284-6407 or fax (859) 257-4822 to provide credit card information) JV (For UK internal use only) Make check payable to: Gatton Executive Education Center (EEC) University of Kentucky 225 Gatton College of Business & Economics Lexington, KY 40506-0034 Do you wish to receive CE credits: YES NO (If "YES", you will be asked for social security number at registration.) Have you ever attended any EEC program in the past? YES NO How did you hear about this program: Website Mailing Newspaper/Magazine Referral Other Comment(s):
Check (please do not send PO's) Credit Card - we accept Visa, Mastercard, and American Express (phone 800-284-6407 or fax (859) 257-4822 to provide credit card information) JV (For UK internal use only)
Make check payable to:
Gatton Executive Education Center (EEC) University of Kentucky 225 Gatton College of Business & Economics Lexington, KY 40506-0034 Do you wish to receive CE credits: YES NO (If "YES", you will be asked for social security number at registration.) Have you ever attended any EEC program in the past? YES NO How did you hear about this program: Website Mailing Newspaper/Magazine Referral Other Comment(s):
Gatton Executive Education Center (EEC) University of Kentucky 225 Gatton College of Business & Economics Lexington, KY 40506-0034
Do you wish to receive CE credits: YES NO (If "YES", you will be asked for social security number at registration.)
Have you ever attended any EEC program in the past? YES NO
How did you hear about this program: Website Mailing Newspaper/Magazine Referral Other
Comment(s):
