Registration Form
Lean Practical Problem Solving

*** This is NOT a secure site. ***
If paying by credit card, you MUST print this form and fax it to us. Fax: 859.257.1071
 

Date
Dr., Ms., etc....
First * Required
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Last * Required
Preference for
Name tag
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(if located in KY)
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   [ex. 555-555-5555]
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Lean Practical Problem Solving -$1,995.00

Please select date:
tba

 

If you have a special
need that may require
accommodation or assistance, please explain:

Payment is made by: 		 
Send invoice to my company    Send invoice to me
Payment/purchase order enclosed 
Purchase order No.


Please make check/purchase order payable to: University of Kentucky

Cancellations made less than 10 days before the course will be subject to the full fee.

*** This is NOT a secure site. ***
If paying by credit card, you MUST print this form and fax it to us. Fax: 859.257.1071

Circle One:

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Security Code________ Billing Address Zipcode _____________

 
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For Course Information Contact:
Ken Kreafle
Email:ken.kreafle@tema.toyota.com
Phone: 859-257-6262, ext. 228
Cell: 859-801-3587

For General Information Contact:
Sandra Dunn
Email:sdunn@engr.uky.edu
Phone: 859-257-6262, ext. 214
Toll Free: 800-227-6268


Lean Practical Problem Solving