The Performance Institute - Training Programs

ONLINE REGISTRATION

Registering for multiple Performance Institute training programs at one time, whether as part of the Human Capital Management Certification Program or independent of it, can save you hundreds of dollars!

Perferences:
	I want to get certified as a Performance Manager!
	I dont want to get certified, but register me for the course(s) listed below

Canidate Informaiton
Name:
Title:
Organization:
Address:
Address (cont'd):
City:	State: Zip:
Phone:	Fax:
E-mail:

Course Selection(s)
Please enter the code and title for each course in which you want to enroll. Doing so will ensure you are registered for the corect course and the correct dates. Codes can be found near the top of each course's web page.
Course Code	Course Title	Tuition
		$1,095
		$895
		$795
		$695
		$495
		Free

Priority Code:
How did you learn about the program?

	If you selected "brochure" or "faxed flyer," please find the "Priority Code" written near your name on the brochure or fax and enter it here. Please enter that code here: *REQUIRED

Payment Information:

	Credit Card
	Check
	Purchase Order/Training Form

Credit Card Number:

Expiration:

Name on Card:

Please call me, I don't want to send my credit card information over the Internet

Comments:

Cancellations: A 10 percent charge will be assessed on your conference registration fee A $150 service fee will be charged on cancellations received less than three weeks from the date of the event. A credit memo will also be sent reflective of that amount, which can be used for a future Performance Institute conference.