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The Masters Certificate in Enterprise Risk Management - Schulich ...

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<strong>The</strong> <strong>Masters</strong> <strong>Certificate</strong> <strong>in</strong><br />

<strong>Enterprise</strong> <strong>Risk</strong> <strong>Management</strong><br />

For Public & Private Sectors<br />

2008-2009 Program Registration<br />

Register me immediately for the follow<strong>in</strong>g session:<br />

October 30, 2008 – February 28, 2009<br />

Three Ways to Register:<br />

MAIL this form to the Sprott School of Bus<strong>in</strong>ess<br />

Carleton University, 310 Dunton Tower<br />

1125 Colonel By Drive, Ottawa, ON K1S 5B6<br />

Please make cheque payable to<br />

Carleton University, Sprott School of Bus<strong>in</strong>ess<br />

FAX this registration form to<br />

the Sprott School of Bus<strong>in</strong>ess at 613.520.7507<br />

REGISTER ONLINE<br />

www.carleton.ca/ppd<br />

Name f Mr. f Ms. f Mrs. Title<br />

Company<br />

E-mail<br />

Bus<strong>in</strong>ess Address<br />

City Prov<strong>in</strong>ce Postal Code<br />

Telephone Fax Mobile Telephone<br />

Are you a Canadian citizen f Yes f No Do you hold any other citizenship f Yes f No<br />

Applicant’s Signature<br />

Date<br />

Brief Professional Background<br />

What types of decisions are you typically responsible for?<br />

What types of bus<strong>in</strong>ess processes are you typically <strong>in</strong>volved with?<br />

Describe the nature of people and/or systems you manage:<br />

Executive Recommend<strong>in</strong>g Applicant<br />

Name<br />

Title<br />

Telephone<br />

E-mail<br />

Payment Method<br />

f Visa f Mastercard f Amex f Cheque (<strong>in</strong>cluded)<br />

Credit Card Number<br />

Name of Cardholder<br />

Cardholder’s Signature<br />

Exp. Date<br />

Date<br />

Payment options – please check:<br />

Paid <strong>in</strong> full<br />

Deposit enclosed $1,000 CDN<br />

Government Employees & Early Bird<br />

Tuition (By September 30, 2008):<br />

$10,000 CDN + 5% GST = $10,500 CDN<br />

Regular Program Tuition:<br />

$12,500 CDN + 5% GST = $13,125 CDN<br />

GST# 118838937<br />

9<br />

YK3290 A B C D E

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