Phone: 812-288-8285 or 800-264-8285 / Fax: 812-283-1582 / Email:
REGISTRATION INFORMATION
Name:Organization:
Street Address:
City: / State: / Zip:
Cell Phone:
Summer Phone: / Summer Email:
Business Phone: / Business Email:
Please check the appropriate box of the course(s) you wish to attend
Classes are 36 hours, Monday – Thursday, 8:00 – 4:00, Friday 8:00-12:00 unless otherwise noted
Fluid Power / Project Based TechnologyFluid Power Basics / Project Based Technology 1: Mastering Level 1 LS
Full / June 27 – July 1, 2011 (Session A) / June 13-17, 2011 (Session A)
July 18 – July 22, 2011 (Session B) / June 20-24, 2011 (Session B)
Fluid Power Advanced: Hydraulics / Project Based Technology 1: Project Experience
July 11-13, 2011 / June 27 – July 1, 2011
Fluid Power Advanced: Pneumatics / Project Based Technology 2: Mastering Level 2 LS
July 14-15, 2011 / July 11-15, 2011
Mechanical Drives - Level 1 and 2 / Motor Control
June 27- July 1, 2011 / July 25-29, 2011
Mechatronics and Computer Integrated Manufacturing / Solar Technology
Mechatronics / Solar PV Troubleshooting
June 13-17, 2011 / July 25-27, 2011
Programmable Controllers / Solar PV Installation
Basic PLCs: AB ControlLogix (AB5500) and CompactLogix (AB5300) / July 28-29, 2011
Solar Thermal Troubleshooting and Installation
June 6-10, 2011 (Session A) / Aug 1-5, 2011
July 11-15, 2011 (Session B) / Wind Turbine Technology
Basic PLCs: Siemens S7 300 Series / Wind Turbine Nacelles and Troubleshooting
June 6-10, 2011 / July 11-15, 2011
Advanced PLC Programming -Allen-Bradley ControlLogix (AB5500) & CompactLogix (AB5300 / Wind Turbine Hubs & Generator Control
July 18 – 22, 2011 / July18- 22, 2011
Basic PLCs: AB MicroLogix (SLC500) / Process Control
June 20-24, 2011 / Process Control - Level and Flow
Power & Control Electronics / June 6 – June 10, 2011
July 18 – 22, 2011 / Process Control - Temperature
Automation – Basic Robotics / June 13-17, 2011
July 6-8, 2011
CLASS TUITION
Please check which fee schedule applies to you. If questions, please call us at 812-288-8285 to discuss.
Free Tuition - Applies if you have purchased the learning system(s) applicable to the class(es) selected.Regular Tuition – Select this option if you do not own the learning system(s) applicable to the class and not employed by a secondary or post-secondary education organization. Regular tuition varies by class, generallyranging from $695 - $995 / seat. Charges for a specific class are available at amatrol.com.
Educator Discount of 50% - Select this option if you do not own the learning system(s) applicable to the class and are employed by a secondary or post-secondary education organization. Regular tuition varies by class, generallyranging from $695 - $995 / seat. Charges for a specific class are available at amatrol.com.
ADMINISTRATIVE FEE
All classes require an administrative fee of $125 for each attendee.
Classroom supplies, lunch and shuttle service between the approved hotels and training facilities are included with the administrative fee. Please let us know if you have any dietary restrictions prior to the first day of class. Class participants are responsible for morning and evening meals, lodging and any other necessary transportation.
LODGING RESERVATIONS AND EXPENSES
PREFERRED LODGING REQUEST
Amatrol has arranged special lodging rates with the hotels shown below. These rates are not available directly from the hotel. Please complete the information below to take advantage of these rates as well as shuttle service to / from classes daily. (Note: Class shuttle service will only be available at these hotels.).
Hotels listed below provide airport shuttle service up to 8:00 pm. Please contact the hotel directly to arrange for airport pick-up. Contact information for the hotels is listed in the Class Information at the end of this document.
Please place a check next to your lodging choice: (All rooms are Non-Smoking)
Single / DoubleSHERATON LOUISVILLERIVERSIDE, 700 West Riverside Drive, Jeffersonville, IN 47130. Complimentary hot breakfast (scrambled eggs, bacon, ham, sausage, potatoes, fruit, and pastries). Close to Ohio River and restaurants. / $82.00 / $82.00
Check the room type you would like:
Single / Double
FAIRFIELD INN, 619 North Shore Drive, Jeffersonville, IN47130
Complimentary breakfast (Jimmy Dean breakfast sandwiches, fresh waffles, yogurt, assorted breakfast breads, cold and hot cereal, fresh fruit).Close to Ohio River and restaurants. / $75.00 / $75.00
Check the room type you would like:
Studio / 2 Bedroom
TOWNE PLACE SUITES, 703 North Shore Drive, Jeffersonville, IN47130
Studios are 1 bedroom with a full kitchen. 2 Bedroom units have two bedrooms, full kitchen, and living area. Complimentary breakfast (sausage biscuits, muffins or danish, fresh fruit). Close to Ohio River and restaurants. / $75.00 / $99.00
Check the room type you would like:
DO NOT RESERVE LODGING. Check this option if you prefer to make your own lodging arrangements or do not require lodging.
NOTE: RATES DO NOT INCLUDE 11% TAX
LENGTH OF LODGING STAY
All reservations will start on Sunday night prior to the start of class with a Friday morning checkout – a total of 5 nights beginning with Sunday night. For any shorter classes or if you would like different check-in / check-out dates, please note them below.
Alternate Check-in Date: ______Alternate Check-out Date: ______
PREFERRED LODGING RESERVATION GUARANTEE / PAYMENT
LATE ARRIVAL GUARANTEE WITH PERSONAL CREDIT CARD: Reserve my hotel room with a personal credit card to guarantee late arrival. I will pay for the hotel room at check-in using a credit card or cash.Complete credit card information below to guarantee your reservation. My credit card will be charged for the first night for any room guaranteed for late arrival unless I cancel with the hotel directly by 4:00 pm the day of arrival. (Reservation WILL NOT be guaranteed without accurate, approved credit card information.)
LATE ARRIVAL GUARANTEE WITH BUSINESS CREDIT CARD: Reserve my hotel room with a business credit card to guarantee late arrival. I will pay for the hotel room at check-in using a credit card or cash.
Complete credit card information below to guarantee your reservation. My credit card will be charged for the first night for any room guaranteed for late arrival unless I cancel with the hotel directly by 4:00 pm the day of arrival. (Reservation WILL NOT be guaranteed without accurate, approved credit card information.)
LATE ARRIVAL GUARANTEE WITH PURCHASE ORDER OR CHECK: Reserve my hotel room. My organization will issue a purchase order or advance check that will be sent to Amatrol for hotel payment. I am responsible for getting payment to Amatrol at least 3 weeks in advance if using a purchase order. My reservation will not be guaranteed without the purchase order or check.
Hotel expenses were included in my purchase agreement (Please note that standard purchases include training tuition but not hotel expenses for the training. Verify with your accounting department or Amatrol distributor.) Your distributor representative must contact Amatrol’s sales department to set up billing arrangements in order to complete lodging reservation.
My Amatrol representative is:
PAYMENT INFORMATION
Please select the payment method for all items where payment is required. For credit cards, you will find a separate charge for each payment item.
Payment Item / Amount / Payment MethodPersonal Credit Card / Business Credit Card / Purchase Order / Amatrol Distributor
Tuition
Free Tuition / None
Regular Tuition / Per fee schedule
Educator Discount / Per fee schedule
Administrative Fee / Required
$125 per attendee per class
Hotel / Lodging / Guarantee late arrival with selection
CREDIT CARDGUARANTEES AND PAYMENTS
Complete credit card information below if applicable.
(NOTE: Classes will not be confirmed nor will lodging reservationswill be guaranteed without accurate, approved credit card information.)
Credit card payment information (Fax form to 812-283-1582):
Name on credit card:
Credit card type:
Credit card number:
Expiration date:
Please remember that you are responsible for canceling your lodging reservation if you are unable to attend training. The administrative fee will be refunded less a $30 charge for processing for any cancellations.
PURCHASE ORDER GUARANTEES AND PAYMENTS
- For payment of the administrative fee or any tuition fees, fax a copy of the purchase order to 812-283-1582 along with this registration form.
- For lodging reservation, purchase orders should be sent to Amatrol and must be received at least 3 weeks in advance.
AMATROL SHUTTLE INFORMATION
Amatrol will provide shuttle service to our corporate headquarters from the hotels listed above, if requested. Pick up will be at the hotel lobby between 7:30 – 7:45 a.m. each class day. We do not provide shuttle service from hotels other than those listed in the lodging section.
Please provide advance notice if you need transportation to LouisvilleInternationalAirport on the last day of class. Class ends promptly at noon to accommodate these arrangements.
Would you like shuttle service to and from Amatrol during the week? / Yes / NoWould you like shuttle service to the LouisvilleInternationalAirport on the last day of class? / Yes / No
CONFIRMATION PREFERENCE
We will e-mailor fax your confirmation number for your hotel reservation as well as confirmation of class registration. Please bring your hotel confirmation number with you when you check into the hotel.
Please check the best method for communicating your class confirmation:
/Fax
Amatrol’s Contact Information:
2400 CENTENNIAL BOULEVARD
JEFFERSONVILLE, INDIANA47130USA
Phone: 812-288-8285 or 800-264-8285
Fax: 812-283-1582, Email:
PLEASE COMPLETE AND RETURN THIS FORM BY EMAIL OR FAX AS SOON AS POSSIBLEEmail: Fax: 812-283-1582Page 1 of 5
POST OFFICE BOX 2697
JEFFERSONVILLE, INDIANA47130USA
Phone: 812-288-8285 or 800-264-8285
FAX: 812-283-1582
Email:
CLASSES: Unless otherwise noted, classes will begin on Monday, starting promptly at 8:00 a.m. and ending at 4:30 p.m. The last day of class, Friday, will end at 12:00 p.m. (noon). Once your registration is confirmed, please make your airline reservations accordingly. Do not make any airline reservations until you receive confirmation for the class. We strongly recommend that you arrive the night before classes begin.
Amatrol classes posted on amatrol.com are available at no tuition cost to all customers who have purchased the applicable Amatrol learning system(s). Customers who have purchased a learning system qualify for free tuition for up to 3 instructors from a single organization each year the classes are offered. As with all Amatrol classes, these are train-the-trainer focused. All learning systems are identified in Amatrol’s North American Price List and contain “Learning System” as part of the product name. Selective purchases of such items as modules, parts, kits, equipment or multimedia alone do not meet the requirements for free classes. Please contact your local Amatrol distributor with any questions.
REGISTRATION: Registration for classes is on a first-come, first-serve basis. You are not confirmed as a registrant until your registration form has been received in our office and available space confirmed. Classes fill quickly, so send in your registration as soon as possible. Once the class is full, no more registrations will be accepted. Classes are occasionally canceled, so PLEASE DO NOT MAKE AIRLINE RESERVATIONS UNTIL YOU RECEIVE CONFIRMATION THAT THE CLASS WILL BE HELD AND THAT YOUR REGISTRATION IS COMPLETE. In case of cancellation, you will be notified at least 4 weeks prior to the start of class. Attendance at these training sessions will ensure the success of your program, and we are looking forward to having you as our guest!
CONFIRMATION:Once we have received your completed class registration, including the hotel lodging and expense information, we will send you your class registration confirmation and hotel confirmation number via your preferred contact method (Email or Fax). Please allow 3-4 weeks to receive your confirmation.
LODGING: Amatrol has arranged for discounted rates at area hotels. To receive the discounted pricing listed on the hotel lodging form, Amatrol must make your hotel reservation. Please complete the preferred lodging portion of your registration and return it to us via email () or fax (812-283-1582). Remember, if you will arrive after 6:00 p.m. on the evening before class, you must guarantee your reservation or the room will be released. If you do not provide your credit card information, the room will not be guaranteed for late arrival. Please remember to indicate on the lodging form who will be responsible for your hotel bill. If your Amatrol representative is paying your hotel expenses, our Sales Department must be notified. (Please note that all hotels are smoke free).
AIR TRAVEL/AIRPORT SHUTTLE: If traveling by air, you should arrive at LouisvilleInternationalAirport– Standiford Field (SDF), in Louisville, Kentucky. All of the hotels on the registration form provide free airport shuttle service. Please phone the hotel in advance to advise them of a pick-up time for you in order to avoid any delay in waiting for the shuttle. The hotels are about 20 minutes driving time from the airport.
SHUTTLE SERVICE TO AND FROM AMATROL EACH DAY: This is a service provided by Amatrol if you are staying at any of the hotels listed on the registration form There is a space on the registration form to request this.
HOTEL CONTACT INFORMATION: Should you need to contact the hotels directly, their contact information is below:
SHERATONLOUISVILLERIVERSIDE / 700 West Riverside Drive, Jeffersonville, IN 47130 / Phone: (812) 284-6711or (800) 800-325-3535FAX: (812) 206-7180
FAIRFIELD INN / 619 North Shore Drive, Jeffersonville, IN47130 / Phone: (812) 280-8220 or (800) 228-2800
FAX: (812) 280-8220
TOWNE PLACE SUITES / 703 North Shore Drive, Jeffersonville, IN47130 / Phone: (812) 280-8200 or (800) 257-3000
FAX (812) 280-8200
MEALS: Amatrol will provide a catered lunch each day, except the final day, when class will end at noon. If you have any diet restrictions, please let us know prior to the first day of class.
If you have any questions regarding any of the training sessions or need assistance in making your plans to attend, we will be happy to help you! Please feel free to call us at 800-264-8285, Ext. 275, for assistance.
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