Meeting and Event Planning Certificate Program

Meeting & Event Planning Certificate Program Registration
Name: *

First Name Last Name
Preferred Name:
Company: *
Title: *
Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Business Phone:
Cell Phone: *
E-mail: *
Birth Month: *
Birthday: *
We would like to know how you heard about us, so please take a moment to answer the following question.
Are you a Belmont Alumni? *

Yes No
How did you hear about us? *
Enter details from question above:
Select Payment Option: *

Check Credit Card
Credit Card Payment Information
Payment by Check
Mail your check in the amount of $975 to the address below.
Your registration is not complete until payment has been received.

Center for Executive Education
Belmont University
1900 Belmont Blvd., MBC 401
Nashville, TN 37212-3757
Pre-program Withdrawal Refund Policy

>20 business days = Full Refund
16 to 20 business days = 50% Refund
11 to 15 business days = 25% Refund
0 to 10 business days = No Refund

Meeting & Event Planning Program Fee: *

Program Fee: $ 975.00

Subtotal $ 0.00 Tax $ 0.00 Total $ 0.00