The Basic Course Registration – International Academy for Economic Development

I am registering as a/an *

What year(s) did you attend The Basic Course? *

Who is your scholarship sponsor? *

Who invited you to audit the course?

Name *

First

Last

Email *

Secondary Email (optional)

i.e. admin or assistant's email

Occupation (check all that apply) *

Other Occupation

Title *

Business / Organization / School *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

This address is my *

Mobile Phone *

Secondary Phone (Optional)

i.e. admin or assistant's phone

How will you be participating? *

Will you be staying as a hotel guest?

How did you find out about our course? *

Other Source

Name of Friend / Colleague who referred you

Why are you taking this course?

What course topics are of highest importance or interest to you?