Executive Seminar Registration

Your Information

Complete the fields below. Fields marked with "*" are required.

Seminar *

Registration Code

Registrant Name *

Work Address

Street Address *

City *

State *

Zip Code *

Email *

Phone *

Organization *

Job Title *

UNC-Chapel Hill Alum

Yes

Kenan-Flagler Alum

Yes

Send an invoice (instead of paying online with a credit card)

Yes

How did you hear about us?

Please confirm below that all supplied information is accurate and that the applicant agrees with the UNC Executive Development Enrollment Policies. This application cannot be processed without this confirmation.

Policy Agreement *

- If invoice is selected and later payment needs to be made by credit card, you will be asked to resubmit this form. If you are enrolling multiple participants, please contact unc_exec@unc.edu.
- For credit card payments, if eligible for a discount, refund will be issued after full payment is received.