APICS CPIM Online Exam Registration
 
Click here for for more about the Conference
Tel: +27 11 805 5677 Fax: +27 11 315 3311
You will receive an email confirming your registration. If you do not receive an email, your application form has not been received and you are not registered!

Name:

First Name
Last Name
Date of Birth: *
Tel Number: ( )
Fax Number: ( )
Cell Number: ( )
E-Mail:
APICS ID
(if known):
Company:
Company VAT Number:
  Preferred Address: For all mailings:
P.O. Box / Address:
Town: Postal Code:
Exam date:
Exam Centre:**
Lecturer: (if relevant)***
Select one in the morning and/or one in the afternoon
Morning Examinations Afternoon Examinations
Would you like us to email your results before posting them to you?*
Yes No
* Day should be in the format: 05, 10... and Year should be in the format: 2007, 1990
** Exam Centres will only be available provided a minimum of 15 registrations are booked
*** Exam Results will be released to your Lecturer (where applicable) unless you specifically requested otherwise