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     Leadership That Shapes the Future - October 10-12, 2017    

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  • PERSONAL INFORMATION
    •    Please fill out the form using proper capitalization.
    • For your name tag.

    • Please enter registrant email address.

    • For international applicant, please select "Other"

    • Please list any dietary restrictions/food allergies that we should be aware of. We will make every effort to accommodate your needs. Enter "None" if no special dietary/food restrictions.

  • ADDITIONAL PERSONAL INFORMATION
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  • COMPANY INFORMATION Remove Entry
    • Please wait a moment for a match to be found in our database. If a match is found, use the match to populate the field. If no match is found, enter your company name using proper capitalization and punctuation. This avoids duplicate company names in our system.
  • SPONSORSHIP
      • Company Sponsored: Full financial support, including tuition reimbursement
      • Self-sponsored: Participant is responsible for full program tuition
  • ADMINISTRATIVE CONTACT
    If you prefer, we will communicate with your administrative contact about billing and registration logistics. Please provide the following information as communication will be done via email and/or telephone.
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  • SOURCES
    How did you first learn about Executive Education at the Foster School of Business?
  • REFERRAL INFORMATION
  • UW ASSOCIATION

    • If you are associated with UW, you might be eligible for special pricing. Please select one of the options below and follow the prompts to provide the information for discounts if applicable.
  • UW ALUM INFORMATION
    If you graduated with a degree from the University of Washington, you are considered a UW alum and are entitled to special pricing. Certificate and non-degree program alums do not qualify for special pricing. Please provide us the following information:
    • If different than provided on the Personal Information section.

  • FOSTER EXECUTIVE EDUCATION ALUM
    If you have participated in a past Executive Education seminar or program, you are considered a Foster Executive Education alum and are entitled to special pricing. Please let us know which program(s) you attented:
    • Hold down the Ctrl key to select multiple programs.

  • UW DEPARTMENT SPONSORED EMPLOYEE

    • We offer 25% discount to UW employees who are sponsored by their department. To be eligible for this discount, your program fee must be paid by a UW budget number. It is understood that you have permission/authorization to charge the budget provide below.
    • Enter six digits with no dash

    • Please provide any preferences of object, sub-object codes, or Project Code Account (PAC) codes such as Task, Option, Project for billing purposes.

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  • Program Charges

    • Payment Options:
       
      • Select "Online Payment" to pay by credit card.
      • Select "Check" if you prefer to pay by check or credit card at a later date. An invoice will be emailed to you shortly with detailed remittance instruction.
      • Select "Budget Transfer" to pay by UW budget.

      Please ensure your email spam filter settings allow messages from Executive Education.
       
      Item Description Quantity Cost Total
      Program Fee Program fee for the Leadership That Shapes the Future Seminar, October 10-12, 2017 1 $3,300.00 $3,300.00
      Total Program Charges:
  • Discount Code
    • Only one promotion code can be used per registration.  Other discounts may apply.

      If your company is interested in sending three for more to the same program, please email
      execed@uw.edu with requested information, have all participants register for the program online and select "Check" for the payment method, we will email you the invoice with the group discount.

       
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