Registration for the Certificate in Business Management Program

*First Name:                  

*Last Name:      

Organization:     

Job Title:            

*Street Address:

*City:   *State:   *Zip:

                                       Home: 

*Phone Contact Info:   Work:  

                                     Mobile:

Fax:     *E-mail: 

The cost of the certificate program will be $975.00 per participant which will cover all expenses associated with the program. payment can be made with credit card or by check made out to the Drake Center for Professional Studies.

Method of Payment: Check Credit Card

Reminder: You are not fully registered until payment is received. Checks can be mailed in or credit card information can be emailed, faxed or called in.

Center for Graduate and Professional Studies

College of Business and Public Administration

Drake University

2507 University Avenue

211 Aliber Hall

Des Moines, Iowa  50311

Please make checks out to: Drake University - CPS

Phone: (515) 271-2592

1-800-44-DRAKE ext. 2592

Fax: (515) 271-2187