fax to: (502) 367-4271

Name/Title: _________________________________________

(if more than one registrant, please attach list)

Company: __________________________________________

Address: ______________________________________________________

__________________________________________________

__________________________________________________

City: ______________________________________________

State: _____________________________ Zip: ____________

Phone:     (_____)______-_________

Fax:          (_____)______-_________ 

Course: ISO 9000:2000 Revisions (a two hour overview) $ 19.00 per person

Date: (circle one): May 15^th ,   August 21^st,  or  November 13^th , 2000

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