Corporate Education & Training Management Development


Date: 11/01/2014

Affiliation/Organization/Institution & Department:

Company Contact First Name:

Company Contact Last Name:

Daytime Phone:

Email (COMPLETE Internet Email Address!! jdoe@someplace.com):

Verify Email:



Mailing Address (Must match your billing address on your credit card statement):
Street Address:
Address cont.:
Address cont.:
City:
State: Postal/Zip Code:
Country:


Corporate Education & Training Management Development

Please note: Refunds will only be issued ten or more days prior to a workshop. After that, credit will be given for a future workshop. A 10% discount will be given for 3 or more persons in the same transaction. A 10% discount will be given to Stony Brook University members. You must use your official stonybrook.edu or stonybrookmedicine.edu email address. Offers can not be combined.

Selections
Please select the workshop(s) you would like to attend.









Number in Party:
Names & email addresses of those attending (Please use this exact format "Jane Doe <jane.doe@acme.com>") Hit Return to add more names:

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SECCT System developed by Last Modified 11/01/2014 08:24:04 AM