Management Development Center

PLEASE REGISTER ME FOR:
Purchasing Management

Winter 2002
Wednesday 6:15 p.m.- 9:15 p.m.
January 16 - June 26, 2002
Naperville Campus

Tuesdays 6:15 p.m.- 9:15 p.m.
January 15 - June 25, 2002
O'Hare Campus

Mondays 6:15 p.m.- 9:15 p.m.
January 14 - July 1, 2002
Loop Campus

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 Responsibilties and Expertise:

Briefly Describe Your Expectations:

How did you hear about us?

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