MENDOZA COLLEGE OF BUSINESS
Executive Education
University of Notre Dame
Registration Form (* Indicates required fields)
Program:
*
First Name: *
Last Name: *
First name as desired on name tag:
Name you would like on your
certificate of completion:
Professional Title:
Organization: *
Address: *
City: *
State/Region/Province: *
Zip/Postal Code: *
Business Telephone: *
Fax:
Cellular Telephone:
Preferred E-mail: *
Program Fee: $3200
Administrative Assistant:

If you would like us to coordinate
details with your admin.

Name:
Phone:
Email:
Dietary restrictions or food allergies:
Your hotel accommodations for June 19 & 20 are covered in your registration fee.
If you need any additional nights please contact Anne Wieber at awieber1@nd.edu or 574.631.6859.