APICS-OC PDM Reservation Form

Orange County ASCM CSCP Registration and On-Line Payment
Full Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Company
E-mail*
Phone Number*

Area CodePhone Number
Meal Choice - Not applicable for virtual class
Member #*
Not a Member please enter 000000
* Must register 1 week prior to the first class to have material available for the first session.

If payment by that date is a problem please contact our registrar for provisional registration (office@ascm-oc.org).
Please choose the correct option
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Begins 04-06-24 - Price includes the instructor-led course, the Learning System with online access to study resources, an exam voucher for the test, and a one-year ASCM membership. If the student is already an ASCM member, they will receive an additional year membership.$4,695.00
Reservation will not be placed until payment is completed.
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