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NZPICS 2016CPIM Tutored Class Enrolment Form

as at 26July 2016

Please print your name carefully and check that spelling matches ID exactly (e.g. Passport). Please complete form in its entirety, particularly your date of birth and your APICS ID number if it is your first course.

Please complete all three pages of this form and email to:orreturn to: NZPICS Inc., PO Box 112-066, Penrose, Auckland 1642

Name: / Employer:
Home address: / Street Address:
Suburb: / Suburb:
City: / City:
Postcode: / Postcode:
Date of Birth: / Postal Address:
APICS ID:
(need ID - see below) / Suburb:
Position: / City:
Home Phone: / Postcode:
Mobile: / Work Phone:
Home Email: / Work Email:

Notes:

  • Prices quoted are for NZPICS members only and are subject to change. All prices are GST exclusive.
  • All tutored students must become APICS members while they are studying.
  • All NZPICS Courses are delivered in English.
  • You need to create an APICS web profile and obtain an APICS ID. Please go to
  • All classes are subject to sufficient numbers and at the discretion of NZPICS. NZPICS reserves the right to cancel Courses if minimums are not met.
  • APICS Exam Credits are current for 6 months after purchase by NZPICS (Please refer to the current CPIM Examination Procedures Bulletin available on NZPICS Website.)

Prices per CPIM paper / Price / Tick
NZPICS Membership(Your membership is valid to 30 June, 2017)
Required for all new students / $75.00
APICS Professional E-Membership (Required for all students)
□New □Renewal / $105.00
BSC - Course and Exam – Central Class per CPIM paper
NZPICS classroom, Level 1, 23 Fairfax Avenue, Penrose, Auckland / $1,799.00
MPR, DSP, ECO - Course and Exam per CPIM paper - Auckland Tutored Class onlyNZPICS classroom, Level 1, 23 Fairfax Avenue, Penrose, Auckland
□ Master Planning of Resources (MPR)
□ Detailed Scheduling and Planning (DSP)
□ Execution and Control of Operations (ECO) / $1,750.00
SMR - Course and Exam per CPIM paper - Auckland Tutored Class onlyNZPICS classroom, Level 1, 23 Fairfax Avenue, Penrose, Auckland / $1,999.00
Stock # / Text and Reference Books / Suggested
For / * Prices / Tick
01103 / APICS Dictionary 14th Edition / Compulsory / All papers / $48.00
01104 / APICS Chinese Dictionary 11th Edition / Optional / All papers / $48.00
03815 / Introduction to Materials Management 7th Ed / Recommended / BSC, DSP / $140.00
03408 / Manufacturing Planning & Control / Recommended / MPR, DSP,ECO / $160.00
05001 / Reprints - Master Planning of Resources / Recommended / MPR / $42.00
05003 / Reprints - Detailed Scheduling & Planning / Recommended / DSP / $42.00
05009 / Reprints - Execution & Control of Operations / Recommended / ECO / $42.00
2016 CPIM ECM / CPIM Exam Content Manual - Supplied only once for the BSC Course / No cost
Membership/s, Course & Exam,
Text & Reference Books / Subtotal / Exclusive GST / $
Office Use only / * Prices
Courier Envelope / Small / $5.00
Courier Envelope / Medium / $9.00
Courier Envelope / Large / $13.00
Courier Envelope / X-Large / $20.00
Large Shipments (Multiple students shipments to one address will be sent on a per student rate - applies to organizations only) / Per student / $10.00
Where do you want your course material sent: / Subtotal / $
□Work □Home / GST / $
□I prefer to collect / Total Amount / $

Successful completion of The Basics of Supply Chain Management exam will qualify you for an APICS Certificate as this is an individual course, as well as the foundation for gaining your CPIM.

NZPICS Incorporated has been granted approval by NZQA under section 251 of the Education Act 1989 to provide the Certificate of Basics of Supply Chain Management (Level 5).

NZPICS Certificate will be sent once pass exam results are received by NZPICS.

Pre requisites: There are no pre-requisites for Basics of Supply Chain Management (BSC).

  • Do you wish to receive emails from NZPICS? □Yes / □No

(NZPICS does not give your email address to any other organizations. Even if you select No above, you

may receive emails regarding important course information if needed)

  • How did you hear about NZPICS & our Courses?

□ Employer □ Colleague □Website □Advertising □Other

  • Who is paying for your study?

□I am □My employer

□NZTE partial funding □Other ______

Please note that organizations with 50 or less employees may be eligible for NZTE Voucher Capability Scheme funding. Contact NZPICS for more information.

  • How large is your supply chain team? ______
  • Who can we contact to share NZPICS course information? ______

Please address invoice to:

My company: / Purchase Order Number:
Accounts Payable
Contact Person: / Accounts Payable email address:
Myself: / Visa / Mastercard No:
Expiry Date: / Name on Card:

Course material will only be sent once payment or visa details are received from individual students or a purchase order number is received from a company.Payment can also be made by internet banking. If you wish to pay this way, please ask for an invoice to be send to you prior to paying.

Refund Policy – Course Only
Students are entitled to a full refund of all costs paid except freight charged (where applicable) as long as
  1. they indicate in writing their intention to withdraw from the course (or paper) to the NZPICS office on or before eight days following the first class (regardless of whether they attended that first class) and
  2. all workbooks and text books are returned to the NZPICS office in good repair no later than a further seven days from the date of their written indication of withdrawal.
If these steps are not met, NZPICS reserves the right to limit the refund amount.

Exam Registration

There is now no exam registration deadline however students need to register for their Computer Based Test early to secure their exam sit. There are limited exam dates and times available each exam window

Please note that your Exam Credit is valid for 6 months after purchase by NZPICS, and will be released under following conditions:

  • 7 days after the start of your Tutored Course
  • your Course & Exam Invoice is paid in full

2016 Exam Windows(Please tick)

□ CBT Exam Window 1- Saturday 19 March to Saturday 7 May 2016 - Closed

□CBT Exam Window 2 - Saturday 4 June to Saturday 16 July 2016 - Closed

□ CBT Exam Window 3- Saturday 13 August to Saturday 1 October 2016

□CBT Exam Window 4- Saturday 29 October to Saturday 17 December 2016

Exams(Please tick)

□ CBT Basics of Supply Chain Management (BSC)

□CBT Execution and Control of Operations (ECO)

□ CBT Detailed Scheduling and Planning (DSP)

□CBT Master Planning of Resources (MPR)

□CBT Strategic Management of Resources (SMR)

Please note when registering for your Exam, APICS will ask about sharing your exam results. Please select “YES” to ensure NZPICS receives your Exam Information from APICS.

□I agree to share my Exam Results with NZPICS.

NZPICS requires this information to ensure quality course delivery and to comply with NZQA Regulations.

(This information must match your ID)

First Name
Surname
Your primary contact email address
2016 Exam Window

Please visit our website and read “APICS CPIM 2015 Exam Bulletin” prior to registering for an exam, as this contain important information including the exam process, reschedules, cancellation, etc.