AMF Registration

Host: Center for the Management of Technological and Organizational Change (CMTOC)
At: Toftrees Golf Resort & Conference Center, State College, PA
On: April 4 -5, 2013

All fields marked with a ^• are required.

Name ^• Dr. Mr. Mrs. Miss Ms. Prefix First Last

Address ^• Street Address 1

Street Address 2

City State / Province / Region

Zip / Postal Code

E-mail Address ^•

Phone ^•

Please identify your participant type ^• Corporate/Industry PSU Faculty PSU Student

Please select the company you represent ^• Please choose one None of the above Absecon MillsAcushnet Co.Argon S.T., Boeing SubsidiaryBearing PointBristol-Myers SquibbCannon Instrument Co.Carel USAChemcutConcurrent Technologies Corp.Conestoga Wood SpecialtiesConstruction SpecialtiesCPWDCCygnus Mfg. Co.Delphi Corp.Dresser-RandEaton Corp.Executive Education for the EnvironmentFCI USA, Inc.First Quality ProductsGeneral Cable IndustriesGeneral DynamicsGlobal Tungsten & Powders (GTP) Corp.Hardinge Inc.Herff Jones, Inc.Hewlett-PackardIEC Electronics Corp.JLG IndustriesKennametal, Inc.KYDEX, LLCLennox InternationalLutron ElectronicsManitowoc Crane GroupMcLanahan Corp.Mercer Lime & Stone Co.Merittech LLCMinitab Inc.Mountain Top TechnologiesNew Pig Corp.NIST/Mfg. Extension PartnershipNorthrop Grumman Corp.Operations Concepts Inc.OrthovitaOSRAM SylvaniaPA Industrial Resource CentersPA Recycling Markets CenterPfizerPhillips UltrasoundPittsburgh Glass Works (PGW)Playworld SystemsQBC Diagnostics/The Drucker Co.Restek Corp.Rockland ManufacturingSilberline Mfg.Stanley Black & DeckerSupelco/Sigma-AldrichTest company 1The Hershey Co.The New York TimesTobyhanna Army DepotTurkey Hill DairyUnited TechnologiesVacuum Processes, Inc.Vertex RSIVideon Central, Inc.W.L. Gore & Assoc.WalmartWeir Minerals North AmericaXerox Corp.Zurn Industries

Affiliation/Company ^•

Title ^•

Fax

Will you be attending the Thursday night reception? Yes No

Registration fee: Regular Fee                                                        $495/person
Second Registrant from the same organization $445/person Third+ Registrant from the same organization   $395/person PSU Faculty or Staff                                          $195/person PSU Student                                                       $155/person

Cancellations: Up to and including March 28, 2013 - full refund. Due to count guarantees, refunds for cancellations after March 29th will be reduced by $100.

How would you like to pay the registration fee? ^• LEAN method: Pay now with Mastercard, Visa or AmEx Mail the check or money order

How would you like to pay the registration fee? ^• LEAN method: Pay now with Mastercard, Visa or AmEx Mail the check or money order Through IDCC

How would you like to pay the registration fee? ^• LEAN method: Pay now with Mastercard, Visa or AmEx Mail the check or money order

Submit Reset

If you have questions, please contact:
Carmen Strand, Program Specialist
Center for the Management of Technological and Organizational Change (CMTOC)
Penn State University
351 Business Building
University Park, PA 16802
Phone: 814-865-6727
Fax: 814-865-7064
Email: cms57@psu.edu