Order

No. 28000162695

Billing Address:
Salahadin Mohammed
Ethiopian Reinsuracne
Addis Ababa, 1000
Ethiopia

Order Date Valid Through Person ID PO Number

04/25/2023 05/25/2023 8537815

QTY Description Price Amount

1 Certified Associate in Project Management (CAPM)® Exam $210.00 $210.00
Promo Code: ($0.00)
Subtotal $210.00
Total Discount ($0.00)
*Total Tax $0.00
Order Total $210.00

India PAN: AAHCP6606M

Payment Options: Please make checks payable to “Project Management Institute” and send to the remit to address. Checks must be in U.S. currency and drawn on a U.S.
bank. Please reference the order number on all payments.

Please Note: For Security purposes, DO NOT send this form via email to PMI if paying by credit card. Send via secure fax to 610-819-0746

☐ Check ☐ ACH ☐ Wire Transfer Please Note: Wire fees are applicant's responsibility ☐ Purchase Order
☐ Mastercard ☐ Visa ☐ American Express ☐ Diners Club ☐ Discover ☐ JCB

Card Number: ________________________________ Expiration Date: ________________________________

Name on Card: ________________________________ Authorized Signature: ________________________________

Bank information for Domestic & International Wires: Bank information for ACH:
Wells Fargo Bank, N.A. Wells Fargo
420 Montgomery Street Account Number: 2014183097209
San Francisco, CA 94104 USA Routing Transit Number: 031000503
Account Number: 2014183097209
Routing Transit Number: 121000248
Swift Code: WFBIUS6S

Prices are subject to change. Remit to:

Orders will not be fulfilled until payment has been received in full. Please Project Management Institute
recalculate any applicable taxes if changes have been made to this order. Attn: Customer Operations
Please make checks payable to “Project Management Institute”. All checks 18 Campus Blvd
must be in USD and drawn on a U.S Bank. Please make sure Order No. is Suite 150
referenced on checks and any type of payment correspondence. Newtown Square, PA 19073 US
Fax: 1-610-819-0746