PDD ONLINE REGISTRATION
Please Note: This page is the registration information only. There will be a separate page for credit card payment. Fields with
*
are required, Also, all online registration confirmations will be sent via email.
Attendee Name
*
Confirmation Email Address
(person@ilikepmi.net)
*
Home Address
(Street, City, State, Zip)
Home Phone
(501-555-1212)
Employer Name
*
Business Address
(Street, City, State, Zip)
Business Phone
(501-555-1212)
*
Membership Status
PMI Only
PMI and Chapter
Non Member
(Required if member selected)
Program fee
: Credit Card payment of $350 must be paid at completion of registration.