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Registration Form Kaizen & Shopfloor Organization Workshop fax to: (502) 367-4261
Name/Title: _________________________________________ (if more than one registrant, please attach list) Company: __________________________________________ Address: ____________________________________________ __________________________________________________ __________________________________________________ City: ______________________________________________ State: _____________________________ Zip: ____________ Phone: (_____)______-_________ Fax: (_____)______-_________ Course(s): (If more than one date is listed circle the date you wish to attend)
~ Refreshments and lunch provided ~
Each workshop meets 8:30 AM to 4:30 PM
Location: Technology Park of Greater Louisville Conference Center, 122 Rochester Drive, Louisville, KY.
Mail or Fax this form to: Purchase Order # _______________________ Innovative Productivity, Inc. Payment enclosed: $________ or charge to: 119 Rochester Drive Louisville, KY 40214 Credit Card Type: __________________________ Phone: (502) 367-2186 Fax: (502) 367-4261 Credit Card Number: _______________________
Expiration Date: ________________________ Make checks payable to: Innovative Productivity, Inc. ALL MAJOR CREDIT CARDS ACCEPTED
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