APICS-OC PDM Reservation Form

Orange County ASCM CSCP Registration and On-Line Payment
Full Name*

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Company
E-mail*
Phone Number*

Area Code Phone Number
Meal Choice - Not applicable for virtual class
Member #*
Not a Member please enter 000000
* Must register 1 week prior to the first class to have material available for the first session.

If payment by that date is a problem please contact our registrar for provisional registration (office@ascm-oc.org).
Please choose the correct option
Categories:All

All

Plus Member - You must already be an established Plus member prior to beginning registration.

Non and Core Member *

Veterans / Full-Time Student / BOD **
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Plus Member - You must already be an established Plus member prior to beginning registration.

Exam Only - Plus Member$695.00

Course Only - 01-10-23 - Plus Member$1,849.00

Course + Exam - 01-10-23 - Plus Member$2,519.00

Course + Exam + 1yr Membership (Renew) - 01-10-23 - Plus Member$2,739.00

Non and Core Member *

Exam Only - Non and Core Members *$965.00

Course Only - 01-10-23 - Non and Core Members *$2,069.00

Course + Exam - 01-10-23 - Non and Core Members *$3,009.00

Course + Exam + 1yr Membership (Renew) - 01-10-23 - Non and Core Members *$3,229.00

Veterans / Full-Time Student / BOD **

Exam Only - Veterans / Student / BOD **$695.00

Course Only - 01-10-23 - Veterans / Student / BOD **$1,649.00

Course + Exam - 01-10-23 - Veterans / Student / BOD **$2,319.00

Course + Exam + 1yr Membership (Renew) - 01-10-23 - Veterans / Student / BOD **$2,539.00
*Core Members are urged to contact the ASCM Orange County Education team to upgrade to Plus status. If you plan to take more than just the class, individuals will obtain significant cost savings through Plus Membership.

** Who are current plus members of ASCM.
Reservation will not be placed until payment is completed.
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