Course Registration Form

Course Registration Form 2017-08-02T12:17:19+00:00

Course Information

Course:

Dates of Course: *
View Course Calendar

Method of Payment: * Credit CardCheckPurchase Order

Note: Payment isn’t due until the course has been confirmed. Once confirmed, PII will follow up to collect payment details for use in processing your course fee. Thank you!

Registrant Information


 

Last Name: *

First Name: *

Company:

Street Address: *

City: *

State: *

Postal Code: *

Country: *

Telephone #: *

E-mail Address: *

Additional Comments:

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* Fields marked with an asterisk are required.

Additional Information

Note: If registering 4 or more attendees for the same course, you will receive a 15% discount on the registration. Please indicate this in the comments field on the form above or call the Process Improvement Institute at 1.865.675.3458. Discounts for multiple registrations are available.

You may pay by credit card, purchase order, check, or money order. If you issue a purchase order, we will invoice you immediately and payment is due before the start of the course.

Make checks payable to Process Improvement Institute. Send payments to:

  • Process Improvement Institute
  • 1321 Waterside Lane
  • Knoxville, TN 37922

All course fees must be paid before the course. Course fees include all manuals, course materials, lunches (valued at $10.00 per day), and refreshments throughout the day. Fees do not include accommodations or transportation. (Note: Please do not make any nonrefundable travel arrangements until your course is confirmed to be held. You will receive a confirmation of the course no less than 2 weeks prior to the course; this will be sent by either e-mail or fax [or both].)

For information on having PII provide a course at your site(s), contact PII at 1.865.675.3458.