Certificate in Essentials of Human Resource Management Seminar
Registration Form
Step 1: Course Length
I am registering for:
___ Complete Seminar - $2,025.00
Only the block(s) indicated below:
___ Block I - $1,000.00 (2 days)
___ Block II - $1,425.00 (2½ days)
Participants may register in only one block, although participation in the full
4½ day seminar is recommended. Participation in the complete seminar is required in order to receive
a Certificate of Completion.
Step 2: Choose A Date
Course Dates for Certificate in Essentials of Human Resource Management:
___ Irvine, CA: March 5-9, 2012
___ Orlando, FL: March 19-23, 2012
___ Orlando, FL: July 23-27, 2012
___ Newport Beach, CA: July 30-August 3, 2012
___ Las Vegas, NV: October 22-26, 2012
Step 3: Complete Participant Information
___ Mr. ___ Ms.
Name: _____________________________________________________
Business Phone: ____________________________________________
(include area code)
Extension: ______________________________
Fax: _______________________________________________________
(include area code)
Email: _____________________________________________________
Title: ______________________________________________________
Employer: __________________________________________________
Employer's Address:
___________________________________________________________
___________________________________________________________
City:_________________________________________
State: ___________________________ Zip: ______________
Name as you would like it to appear on certificate (full seminar registrants only):
_______________________________________________________________
If you need a copy of your confirmation and invoice/payment receipt sent to someone other than yourself, please provide their e-mail
address here:
_______________________________________________________________
Step 4: Payment
IAML's Federal I.D. Number: 95-3548502
Total Fees Due: $____________________________
If you feel you are entitled to a discount, please indicate discount amount and reason_________________________________________________________________
Payment:
___ Payment in full
___ Deposit check for one-half of the full fees due
___ Purchase order number _________________________
___ Bill my employer
___ American Express ___ Mastercard ___ Visa ___ Discover
Cardholder Name: __________________________________
Card Number: _____________________________________
Expiration Date: (mm/yy) ____________________________
Signature: ________________________________________
Confirmation of registration will be sent via e-mail. If you do not receive confirmation within two
business days, please call IAML to confirm that your registration was received.
Registration fees are: Full 4½ seminar: $2,025.00; Block I only: $1,000.00; Block II only: $1,425.00.
If you feel you are entitled to a discount, it must be requested on this registration form - discounts will not be given once a registration has been processed.
Registrants are responsible for making their own hotel reservations. IAML has made
arrangements for participants to receive a special group rate at the hotels where the seminars will
be held (2011 locations to be announced.) To ensure that you will receive a room at the special group rate, please make your hotel
reservations at least four weeks in advance of the seminar and mention that you are participating in
an Institute for Applied Management & Law seminar.
A minimum of one half of the total fees due to IAML should accompany your registration, or a Purchase
Order Number should be provided. The total fees payable should be received by IAML at least two weeks
prior to the seminar. Arrangements such as deferred billing can be made to accommodate special
circumstances by contacting us. IAML also accepts American Express, MasterCard, Discover and VISA. If paying by credit card,
your payment receipt will be mailed to the address you provided on the registration form, unless you
make other arrangements. While registrations may be accepted within the two weeks prior to the beginning of
a seminar, we suggest that you call IAML to confirm space availability. Participants will receive a full refund
of any fees paid if IAML receives written notification that they will be unable to attend at least two weeks prior to
their program's starting date. Otherwise, participants are liable for the entire fee. Registrants requesting
a transfer to another program within this two week period will be charged an additional fee of $75.00 per day
for each program day transferred. You may substitute an associate at any time.
