Applied Management Principles (AMP): Online Registration

AMP Program

PLEASE NOTE that this is an early registration form for industry participants only. Attendance by Ph.D. students from Purdue and other Big Ten/CIC schools is conducted via a separate nominating process.

Please provide as much information as possible (Bold fields are required for submission):

Contact Information:
First Name:
Last Name:
Call name:
E-Mail Address:
Title:
Organization & Address:
Business Phone:
Fax:

Program Fee:
 

$5,500.00 for the two week program and includes all instructional material and select meals

I wish to be invoiced.
I wish to pay by credit card. Please contact me by phone for the credit card information.
  Note: Please DO NOT input your credit card number on this form, as there is no encryption enabled at this time.

Program Lodging :
I will stay at the Purdue Memorial Union Club Hotel, adjacent to the program, where the rate is approximately $90.00 per night plus tax. Purdue will make my hotel reservation upon receipt of my registration and I will make payment to the hotel upon checkout.
I won't need lodging or will arrange my own; however, I do need a parking pass (take a ticket to enter the garage and we will give you a parking pass to leave the garage and to use the rest of the program).

Optional Information:
How did you hear about us?
Are you a graduate of Purdue?
If so, what was your degree, major, and graduation date?
I request special seating, services, or meals. Please contact me as noted above.

Please Note: Purdue University is not responsible for expenses incurred due to cancellations.

This program is a continuing education activity of Purdue University, an equal access/opportunity university.

Cancellations, made up to four weeks prior to the start date of the program, will receive a full refund less a $75 processing fee. No refunds will be made on cancellations after that date.

All cancellations must be made by phone to Krannert Executive Education Programs at 765-496-1416; and in written form by fax to 765-494-0862, attention: AMP Registration; or by email to lmunder@purdue.edu.