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MBA Seminar Registration Form

Name: 
Address:
City: 
State:
Zip:
Social Security #:   
Email Address:
Employer:
Employer Address:
Daytime Phone Number:
First Name Preference:

Status:
Current MBA Student
Alumni
Transient Student
Guest

 

I am registering for the following seminar(s):

Leadership: Leading Organizations, People and Change on October 24-25, 2008 in Ashland, Ohio (MBA 516 YH)

Credit ($700)

Non-credit ($350)

Payment Information:
Corporate Reimbursement   Amount $                                  Authorized By 

Check (mail to: MBA Office, Ashland University, 401 College Ave, Ashland, OH 44805)

Credit Card
(call the MBA Office at 1-888-MBA-CLAS with your Mastercard, Visa, Discover, or American Express credit card number)

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