Registration

Registration for a Course/Event with CENH APICS.

We accept Credit Card payments through PayPal or you may mail course/event payment TO:

CENH APICS,

PO Box 1631,

Laconia, NH

03247-1631.

We accept Credit Card payments through PayPal.

Please note that you do not need to have a PayPal account to use this service.

Contact Gerry O'Neil if you need additional information,

Gerry O’Neil, CPIM

603-968-2221 home

603-455-6594 cell

Cancelled Classes Courses/Events will be fully refunded or the offer of a credit will be made towards another or future event.

Please tell us who you are (NAME)	First*	Last *
And how do we get in touch with you?	Address*	2nd Line
	City/State*	Zip*
	*(required information)**

	Telephone*	Email*
*Event you are registering for: If you selected a CPIM Course above, please tell us which one. Please list all attendees starting with yourself if applicable, list the APICS ID Number to get the member rates: If your organization has a corporate membership check here and do not bother to fill in the APICS ID No.**
Name, Attendee 1 APICS ID No.
Name, Attendee 2 APICS ID No.
Name, Attendee 3 APICS ID No.
Name, Attendee 4 APICS ID No.
Name, Attendee 5 APICS ID No.
Name, Attendee 6 APICS ID No.
Name, Attendee 7 APICS ID No.

How will you be making Payment for this event?
PREPAY Please remit to address below.
Credit Card Via PayPal Company Name		Address
Address		State
		Zip
Make Checks Payable to; Central New Hampshire Chapter of APICS, Inc PO Box 1631 Laconia, NH 03247-1631