<img height="22" border="0" width="176" alt="" src="/id0904f67a803f8b21" /><br /><br /><br />If you would like to receive alerts about Project Management Workshops, please complete and submit this form.
<form name="mail" action="http://www.siue.edu/cgi-bin/FormMail.pl" method="post">
<input name="recipient" type="hidden" value="shindel@siue.edu" /><input name="redirect" type="hidden" value="http://www.siue.edu/business/projectmanagement/thanks.shtml" /><input name="required" type="hidden" value="email" /><input name="subject" type="hidden" value="Project Management Workshops Information Request" /><input name="required" type="hidden" value="firstname,lastname,email,company,title, address,workphone" />
<table border="0" width="1000" cellpadding="0" cellspacing="0">
<tr>
<td height="35">First Name <input name="firstname" size="18" maxlength="15" type="text" id="firstname" /><label for="mi"> M.I. </label><input name="mi" size="2" maxlength="2" type="text" id="mi" /><label for="lastname"> Last Name </label><input name="lastname" size="15" maxlength="15" type="text" id="lastname" /></td>
</tr>
</table>
<table border="0" width="803" cellpadding="0" cellspacing="0">
<tr>
<td height="35" width="99">Company </td>
<td height="35" width="661"><input name="company" size="35" type="text" id="company" /></td>
</tr>
<tr>
<td height="35" width="99">Title </td>
<td height="35" width="661"><input name="title" size="58" type="text" id="title" /></td>
</tr>
<tr>
<td height="35" width="99">Address </td>
<td height="35" width="661"><input name="address" type="text" id="address" /></td>
</tr>
</table>
<table border="0" width="1000" cellpadding="0" cellspacing="0">
<tr>
<td height="35">City <input size="18" maxlength="15" type="text" id="city" /><label for="state"> State </label><input size="2" maxlength="2" type="text" id="state" /><label for="Zip"> Zip </label><input size="15" maxlength="15" type="text" id="Zip" /></td>
</tr>
</table>
<table border="0" width="804" cellpadding="0" cellspacing="0">
<tr>
<td height="35" width="102">Work Phone</td>
<td height="35" width="689"><input name="workphone" type="text" id="workphone" /></td>
</tr>
<tr>
<td height="35" width="102">Email Address</td>
<td height="35" width="689"><input name="email" size="53" type="text" id="email" /></td>
</tr>
</table>
<br /><textarea name="comments" rows="10" cols="40" onfocus="this.value=’’" id="comments">Please Enter your comments.</textarea><br /><br /><input name="Project Management Workshops" type="submit" value="Submit" /></form>
<h3>Contact us:</h3>
<p align="left"><span style="font-family:Arial, Helvetica, sans-serif; font-size:10pt; "><strong>Executive Education<br />Southern Illinois University Edwardsville<br />School of Business<br />Phone: 618-650-2668<br />Fax: 618-650- 5353<br />E-Mail: <a href="mailto:executived@siue.edu">executived@siue.edu</a></strong></span></p>
<h3>Please direct custom program inquiries to:</h3>
<p><span style="font-family:Arial, Helvetica, sans-serif; font-size:10pt;"><strong>Sandra Hindelang<br />Executive Education<br />Southern Illinois University Edwardsville<br />School of Business<br />Phone: 618-650-2668<br />Fax: 618-650-5353<br />E-Mail: <a href="mailto:shindel@siue.edu">shindel@siue.edu</a></strong></span></p>