VIP Privileges Program-National Seminars Group at NationalSeminarsTraining.com

Follow these 3 easy steps to enroll today:

1. Because enrollment in the VIP Privileges Program requires your signature (See Terms and Conditions), please complete the VIP Privileges Enrollment form to the right and hit the submit button..

2. Once form is submitted, you'll be taken to a new page with your completed form in a printer-friendly format. Please print a hard copy and complete with your signature.

3.Fax to: 1-913-432-0824 or mail to:

Rockhurst University Continuing Education Center, Inc.
6901 W. 63rd St.
Shawnee Mission, KS 66202
Attn: VIP Privileges Coordinator

VIP Privileges Program

STEP 1: Complete the form below then click "Submit for Print & Faxing" button at the bottom of this page.

* Organization:
* Prefix:
* First Name:
* Last Name:
*Title:
**Fax Number:	( ) -
**Email Address:
**Reenter Email:
*Street Address:

*City:
*State/Province:
*Zip/Postal Code:

**By providing the above fax number and/or email address, and by signing and returning this form, I give my express permission for RUCEC to contact me and my organization in the manner(s) that I've chosen above. I understand that I can change my communication preferences at any time.

*required **you must provide a fax number and/or an email address to qualify for enrollment in this program as preferred customer benefits are delivered through these mediums. We care about your communication preferences and will only contact you and your organization in the manner you've designated above.

VIP Privileges Program Terms and Conditions
Your written signature is required to prevent fraudulent enrollments. The discounts you receive are valid for new registrations only. The VIP Privileges discounts can not be combined with any other discounts. By providing a fax number and/or email address, and by signing and returning this form, you are giving your express permission for RUCEC to contact you and your organization in the manner(s) you have designated. You can change your communication preferences at any time.