PLEASE REGISTER ME FOR:
DePaul/ProLima PMP Certification
(two-day program)
Loop Campus
Fri-Sat, September 14-15, 2001
9:00 a.m. - 5:00 p.m.
Naperville Campus
Fri-Sat, October 4-5, 2001
9:00 a.m. - 5:00 p.m.
O'Hare Campus
Fri-Sat, October 26-27, 2001
9:00 a.m. - 5:00 p.m.
PERSONAL DATA:
First name:
Last name:
SSN:
Home Address:
Address 2:
City:
State:
Zip code:
Phone number:
Fax number:
Your email:
ORGANIZATIONAL DATA:
Title:
Company:
Address:
Address 2:
City:
State:
Zip code:
Phone number:
Fax number:
Your email:
Briefly Describe Job Responsibilities and Expertise:
Briefly Describe Your Expectations:
How did you hear about us?
PLEASE SEND ALL CORRESPONDENCE TO:
Home Address
Work Address
METHOD OF PAYMENT:
Credit Card (Please call 312-362-6780)
Bill My Firm - PO# Required
Check - Please print this form & mail to:
DePaul University MDC
1 E. Jackson Blvd. - Suite 7000
Chicago, IL 60604
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