November 17, 18 & 19, 2003
Hilton, Knoxville TN

Course Enrollment is Limited

*Registration submitted after November 3rd, 2002 will be charged an additional $100 late fee. 

Company_________________________________________________________________

Address__________________________________________________________________

City ______________________  State ____________________  Zip _________________

Work Phone _______________Home Phone______________E-mail________________

Please make check payable to The University of Tennessee.

_____MasterCard                             ______ VISA                                   _____ Discover Card

Card # _________________________________ExpirationDate_____________________

Authorizing Signature________________________________________________________________

Registration:

To register, complete the registration form and return it with your payment to:

UT Professional and Personal Development
1534 White Avenue
Knoxville, TN 37996-1526

You may fax you registration to (865) 974-0154. You may also register by phone with a credit card by calling (865) 974-0150 between the hours of 8 a.m. and 5 p.m. Eastern Time. A receipt will be mailed to you.