Lean Six Sigma Registration
  1. Title(*)
    Invalid Input
  2. First Name(*)
    Invalid Input
  3. Last Name(*)
    Invalid Input
  4. Company/Hospital/University Affiliation
    Invalid Input
  5. Billing Address(*)
    Invalid Input
  6. Degrees Earned(*)
    Invalid Input
  7. Email Address:(*)
    Invalid Input
  8. Office Phone(*)
    Invalid Input
  9. Cell Phone
    Invalid Input
  10. Fax:
    Invalid Input
  11. Payment Amount:(*)
    Invalid Input
    *(Members of the Institute of Industrial Engineers (IIE) receive a $350 discount.)
  12. Payment Method(*)
    Invalid Input
    If mailing your payment, please make your check payable to: UAB
  13. Mail to: UAB School of Health Professions Department of Health Services Administration, Attention: Wendy Price, SHPB 530-D Birmingham, AL 35294-1212
  14. Please enter the following characters:(*)
    Invalid Input