APICS Michiana In-House Education Request for Quote

Be as complete as possible in your request for a quote for in-house classroom style training. The * to the right indicates a required input field.   Use the Comments area to be more specific if your request is for other than Certification Review or Principals courses

First name  *  Last name *

   Company  *

Address 1  2 

City:     State:    Zip: 

Phone (numbers only)  *  Fax number:

E-Mail  *

Is this home or work information?  Home Work*

Select course type  CPIM CIRM Principals  CSCP Other (specify in Comments below)*

Preferred day-of-the week for classes  Mon Tue Wed Thu Fri Sat*

Preferred time of day  AM PM After 6:00p*    Desired Starting Date   *

Additional Comments  

If students outside your company could attend (to possibly lower your cost) please indicate so here.