Project Management

*** This is NOT a secure site. ***
If paying by credit card, you MUST print this form and fax it to us. Fax: 859.323.1035

Date

Dr., Ms., etc....

First

* Required

Middle Initial

Last

* Required

Preference for
Name tag

Job Title

Department

Company

* Required

PO Box

Street Address

* Required

City

* Required

State

* Required

Province

Zip Code

* Required

Country

Business Phone

ext. * Required
[ex. 555-555-5555]

Cell

Fax

* Required

Website Address

How did you hear about our program? * Required
	Word of Mouth
	Print Ad
	Email Ad
	Internet Ad
	Other

Project Management-$2,200.00
Module One: The Management of Project Management
TBA

Module Two: Planning for Successful Projects
TBA

Module Three: Keeping Projects on Track
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.
Visa	MasterCard	American Express	Discover
Card Number		Expiration Date
Security Code
Cardholder Signature _____________________________________________________________

For more information, contact Sandra Dunn
UK Center for Manufacturing 220 CRMS Building Lexington, KY 40506	Phone: 859.257.6262 ext. 214 Fax: 859.323.1035 Email: sdunn@engr.uky.edu

Project Management