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Center for Executive Education
On-Line Registration
Health Care MBA Essentials Enrollment
Please complete the form below to register to the Health Care MBA Essentials. If you have difficulty registering on-line, please call Lisa Poling at 293-7961.
Please register me for the Health Care MBA Essentials Certificate Program:
Cost $2,495
Please register me for individual sessions ($225 each or 3 for $650) call 304-293-7961 to select sessions
First Name:
Last Name:
Company/Organization:
Optional
Title/Profession:
Address:
City:
State:
Zipcode:
Example: 12520
Office Phone Number:
Fax:
Optional
Email Address:
Example: dmolsen@hotmail.com
Insert your name as you would like it to appear on your Name Tag:
Insert your name as you would like it to appear on your Certificate:
I wish to apply to earn the following credits upon completion of the Program:
WVU College Credits
CME Credits
Payment Method:
I will call 293-7961 with my credit card information within 2 business days of registration
I will send a check (please send a copy of this registration form along with the check) to Health Care MBA Essentials Program, WVU Center for Executive Education, College of Business and Economics, P. O. BOX 6025, Morgantown, WV 26506-6025
I will call 293-7961 within 2 business days to make other arrangements
Please call 304-293-7961 if you do not receive an email confirmation within 3 business days of registration submission.
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