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Registration Form
1-REGISTRANT CATEGORY All fees are listed in United States dollars and Early Regular Nonmember
must be paid in United States currency. PMI Member Rate PMI Member Rate Rate
Please indicate your registration category One-day Seminar $675.00 (US) $725.00 (US) $895.00 (US)
in the table to the right. Two-day Seminar $1350.00 (US) $1455.00 (US) $1595.00 (US)
I am a PMI Member, my member Three-day Seminar $2025.00 (US) $2155.00 (US) $2295.00 (US)
number is__________________ Four-day Seminar $2700.00 (US) $2845.00 (US) $2985.00 (US)
I am not currently a PMI Member, Seminar Seminar
and do not wish to join now Name: Location:
I would like to join PMI now! Seminar Seminar
Please fill out Section 3 of this Name: Location:
form to join PMI.

The information requested below will be used to mail your seminar registration confirmation (if e-mail is not
2-REGISTRANT INFORMATION
provided), and membership information (if applicable). Please print legibly.
Prefix: Mr. Mrs. Ms. Dr. PMI Credentials: CAPM® PgMP® PMP® PMI-ACPSM PMI-PBA PMI-RMPSM PMI-SP®

First Name ______________________________________ Middle Initial _______ Last Name ______________________________________________

Title _______________________________________________ Company/Organization _____________________________________________________

My preferred address below is my home work | Preferred Street Address ____________________________________________________________

City _____________________________________________ State/Province _______________ Zip/Postal Code ______________ Country___________

E-mail ________________________________________________________ Telephone _____________________________________________________

Cellular Phone _____________________________________

I would like to be included in: PMI Directories PMI communications regarding products, services and events Third party mailing lists

How did you first learn about SeminarsWorld?

(01) Colleague/Friend (05) Advertising/Publicity (09) PMI Electronic Communications/E-mails
(02) Employer/Management (06) Conference or Trade Show (10) Direct mail (brochure, postcard, catalog)
(03) PMI Component Organization (07) PMI website (11) Other (please specify)
(04) Project Management Journal® / PM Network®/PMI Today® (08) SeminarsWorld Instructor
_______________________________________

What is your organization’s primary business activity (industry)? What category best describes your job function?
CONSTRUCTION (006) Arts/Entertainment/Broadcasting ENGINEERING OTHER
(002) Commercial/Heavy Industrial (046) Automation Systems (157) Chemical (103) Consulting
(001) Residential (007) Business Mgmt Svcs./ Mgmt Consulting (151) Civil (106) Distribution
(003) Other________________ (053) City Management (152) Electrical (107) Finance
(008) Computers/Software/DP (153) Electronics (127) Financial Services
RESOURCES
(044) Consulting (154) Environmental (110) Legal
(023) Agriculture
(009) Defense (155) Industrial (111) Marketing/Business
(027) Coal/Gas/Oil
(048) E-business (156) Mechanical Development/Sales
(025) Ferrous Mining (113) Production
(010) Economics/Finance (150) Other____________
(024) Forestry
(011) Education/Training (115) Project Accounting/Audit
(026) Non-Ferrous Mining
(041) Engineering MANAGEMENT (116) Public Relations
MANUFACTURING (012) Environmental/Waste/Sewage (102) Communications (119) Research/Product
(028) Automotive (042) Financial Services (149) Configurations Development
(029) Chemical (013) Health/Human/Social Services (104) Contract/Procurement (056) Retail
(030) Concrete/Clay/Glass/Stone (043) Information Technology (101) Corporate/Administrative (128) Service & Outsourcing
(031) Electrical/Electronic (051) International Development (105) Cost (123) Teaching/Training
(032) Food (014) Legal (148) Critical Chain (146) Web Strategist/Technologist
(033) Machinery/Metals (015) Printing/Publishing (147) Earned Value (125) Other ___________________
(034) Paper (016) Public Administration/Government (108) Human Resources
(035) Petroleum (017) Real Estate/Insurance (109) Information/Computer
(040) Pharmaceutical (018) Recreation (112) Materials
(036) Plastics (050) Supply Chain (114) Project/Program
(037) Textiles/Fabrics (049) Systems Security (117) Quality
(038) Wood (019) Telecommunications (118) Records
(039) Other________________ (020) Transportation (120) Risk/Safety
(052) Urban Development (121) Scope/Technical
OTHER BUSINESS ACTIVITIES (122) Site/Facility
(021) Utilities
(045) Academia (124) Time
(047) Web Technology
(004) Aerospace Mgmt/Scheduling/Planning
(022) Other________________
(005) Architectural Design

3-NEW MEMBER INFORMATION I am a New Member Previous Member, ID #________________ Last Year of Membership ________
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Registration Form
Print Name (as you would like it to appear on your membership certificate) Yes, I would like to receive print issues of Project Management
Journal in addition to the electronic version available to all members.
____________________________________________________________________________________________________________________

Is the mailing address you’ve provided above your preferred renewal billing address? Yes No, Please send my renewal billing information to:
Street Address __________________________________________________ E-mail _______________________________________________

City ____________________________________ State/Province __________ Cellular Phone _________________________________________

Zip/Postal Code _________________ Country_____________________ Fax _________________________________________________

Telephone __________________________________________________ By supplying the fax information, you consent to being contacted by PMI at the fax number(s) provided.

4-PAYMENT INFORMATION
SeminarsWorld Cancellation/Substitution Policy PMI MEMBERSHIP (One full year of Membership)
Full refunds, less $50.00 (US) processing fee per registrant, Individual Membership
will be granted to cancellations received in writing up to two PMI Individual Member Dues . . . . . . . . . .. . . . . . . . . . . . . $129.00 (US)
weeks before the first day of the seminar. Cancellations Application Fee (for New/Rejoining Members). . . .. . . . . . . ..$10.00 (US)
received less than two weeks before and 48 hours prior to the
first day of the seminar are subject to a $50.00 (US) service
PMI Chapter Fees
charge for each seminar day cancelled, plus a $50.00 (US) • For a listing of all PMI Components and their
processing fee. Refunds/cancellations will not be given if fees go to the PMI website at www.PMI.org
cancellation is received less than 48 hours prior to the first
day of your registered seminar. Refunds will not be granted PMI Chapter Name(s)____________________________ . $_____.___
for no-shows. PLEASE NOTE: Credit card refunds may take Optional Air Mail (outside North America) $60.00 (US) . . . $_____.___
7-10 business days to reflect in your account. Canadian Tax (If applicable) . . . . . . . . . . . . . . . . . . . . . . . $_____.___
If you register by invoice, you must pay all balances due 30
days prior to the first day of the seminar. If payment is not Total Membership Dues Enclosed
received, your registration will be cancelled and your seat in $________._____
the seminar forfeited. After notification of cancellation, you SEMINARSWORLD FEES
may re-register by credit card only. Registration Category Fees (from Section 1) $________._____
Seminar Changes: There will be a $50.00 (US) transfer fee if
seminar transfers are received up to two weeks prior to your
original registered seminar. After two weeks, a $50.00 (US) $________._____
transfer fee plus a $50.00 (US) per seminar day fee will apply. TOTAL PAYMENT AMOUNT ENCLOSED
No transfers will be accepted after the first day of your original
registered seminar.
If PMI cancels a seminar for any reason, they assume no
responsibility for nonrefundable airline tickets or other travel
costs. PMI will make every effort to immediately notify
registrants of a cancellation. PMI reserves the right to cancel
any seminar that has insufficient enrollment.

CANADIAN TAX INFORMATION Payments must be in the form of credit card, check or money order, paid in United States
In accordance with Canadian tax law, taxes are collected on member dues dollars and drawn on a United States bank. Make checks/money orders payable to "PMI
and application fees relating to PMI and the following chapters: Canada’s
Technology Triangle (CTT), Lakeshore, Durham Highlands, New SeminarsWorld." Please send registration and payment together. Registration forms received
Brunswick, Levis, Manitoba, Montreal, Northern Alberta, Nova Scotia, without payment will not be processed.
Ottawa Valley, Regina/S Saskatchewan, Southern Alberta, South Western
Ontario, and Southern Ontario. The rate of tax charged varies depending PAYMENT TYPE American Express Check/Money Order Diners Club
on the province address you use. Tax calculations by province are 15% for
Nova Scotia, 13% for New Brunswick and Manitoba, Discover MasterCard Visa Wire Payment
Newfoundland/Labrador and Ontario; 14% for Prince Edward Island;
14.975% for Quebec; 12% for British Columbia; 10% for Saskatchewan Card Number____________________________________ Exp. Date ________/_______
and 5% for all other provinces. If your employer is paying for your
membership and has been granted tax-exempt status by the appropriate
Canadian authorities, you will not be able to submit your application on- Name on card:______________________________________________________
line. You will need to mail or fax your membership application along with a
tax-exempt certification meeting the specifications of the Canadian
government. Signature:__________________________________________________________

Wire Transfer Details:

GST/HST registration: 897944807RT0001 Project Management Institute (PMI)
QST registration: 1202723001TQ0001 Wells Fargo Bank, N.A.
3515 West Chester Pike
CONFIRMATION will be e-mailed within seven to 10 business Newtown Square, Pennsylvania 19073 USA
days of receipt.
Account Number: 2000018429053
Routing Transit Number: 121000248
Registration Inquiries? Call 1-800-310-7554 (within the
Swift Code: WFBIUS6S
United States) or +1-240-439-2554 (from all other locations)
or e-mail pmisw@experient-inc.com * If submitting payment via wire transfer, please note that funds must be received and verified by PMI no later than two
weeks prior to the event start date. Registration is not confirmed or complete until an attendee’s account is showing a zero
balance. Attendees will not be permitted to attend the course until any outstanding balance is settled; a credit card is required
to complete payment onsite.

HOW TO RETURN YOUR REGISTRATION AND PAYMENT...

MAIL (both pages) with payment to: OR FAX (both pages) to +1-301-694-5124 (For credit card payments only.)
Project Management Institute Confirmation from your fax machine does not mean that you are officially registered for the event.
P.O. Box 783301 Please wait until you receive an e-mail confirmation to make airline and hotel reservations.
Philadelphia, PA 19178-3301