Erickson School

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REQUIRED FIELDS ARE INDICATED BY AN *.

Registration Info

Please select the course(s) for which you are registering
The cost for one course is $2750. The cost for multiple courses is $2500 each.*

2Tommorrow's Technology
         February 19-22 2008
Finance
         March 25-28 2008
Sales and Marketing
         April 22-25 2008
Managing Services
         May 13-16 2008
Risk Management
         June 10-13 2008
Service Excellence
         June 23-26 2008
1
         dsa
3Management and Operations
         September 23-26 2008
Development
         November 17-20 2008
Strategic Human Capital
         December 2008
Business and Strategy
         February 5-8 2008

Full Name *
Nick Name (if different than first name)
Title *
Company
Address
Address 2
City
State
Zip
Phone Number
FAX
Cell
Email *
# of Years Total Professional Experience
# of Years Working in the Field
Length of Time in Present Position
# Courses Previously Taken at Erickson School
Most Recent Degree and Year Earned

Functional Area Which Best Describes Your Position
PR/Marketing/SalesStrategic Planning Business DevelopmentAdministration FundraisingGeneral Management Finance/AccountingOther (please specify) Information TechnologyHR/Org. Development Research & DevelopmentOperations
Please Specify Here:

Please check all categories which describe your organization
Affordable HousingCorporate HQ Assisted LivingHome/Community-Based Service Provider AssociationIndependent Living CCRCSkilled Nursing Government EntityOther

# of Employees
Under 50501 to 1000 51 to 100Over 1000 101 to 500

Annual Revenue
Under $500000$3 to $5 million $500000 to $1 millionOver $5 million $1 to $3 million

How did you hear about this course?
PostcardColleague (please specify) BrochureOther (please specify) Conference (please specify)
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Cancellation Policy:
Cancellations must be recieved 14 days prior to the course start date for a full refund, minus a $100 processing fee. Cancellations recieved after that time is not eligible for refund.
Upon reciept of your registration form, you will be contacted with payment information.