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             EXTRAORDINARY PEOPLE, EXTRAORDINARY RESULTS

                                     Bridging the gap between process and technology to help you work better, faster, smarter

ERM Course Registration

 

* Fields are required:

   

1. This online registration and payment is the best method to use. Optionally, there is a PDF registration form that can be completed and transmitted by email or fax.
 

2. Fill out this form on screen. Print the completed form for your records You will receive a confirmation email from IMERGE. When finished click Submit Registration at the bottom of this page. Your will be sent to a secure credit card payment page.

 

3. Your check or credit card payment will serve as further verification of your payment.

4. If paying by check, send check to either the US address (for US workshops) or Canada (for Canada workshops) address shown below. Please enclose a printed copy of this completed form with your mailed check.

*Workshop Location & Date  
*Name:
*Job Title:
*Company Name:
*Mailing Address:
Mailing Address2:
*City:
*State/Providence:
*Zip/Postal Code:
*Country:
*Email:
*Tel. No:
Cell Phone:
*Company Website:

I am an ARMA/AIIM Member Yes No Member ID:

Special Discount Code:

How did you hear about us?  Other:

Are you upgrading your ERM Certificate? Yes No

    

Course Name

Days

$US

AIIM/ARMA

$US

Non-Member

$CN AIIM/ARMA

$CN

Non-Members

Practitioner

2

$1050

$1160

$1250

$1400

Master

4

$2705

$2980

$3250

$3600

 

$US

less special

discount

 

=

$CN

less special

discount

+ 5% GST    =

*Payment Options:

Credit Card:   Check Please send me an invoice:

Checks should be made payable to "IMERGE Consulting" and mailed to:

$US

IMERGE Consulting, Inc

1227 Stony Creek Way

Rockford, IL 61108-1547

$CN

IMERGE Consulting

3181 Colebrook Court

Mississauga, ON L5N 3E2

 

Comments:

Let us know if you have any specials needs.

Terms & Conditions:

.

*By entering your name here you agree to the terms and conditions above:                                 

        

Questions? Call IMERGE: 815-398-0492 or email training@imergeconsult.com

 

Print this page for your records before submitting registration.

Once you click the submit button below you will be taken to a payment page to pay by credit card or instructions to send a check.