Print this page and fax to 248.828.4015

The Fear-Free Prospecting
& Self-Promotion Workshop®

When:

Oct 3, 2003

Location:
 Troy, MI
Time:
  9:00 am - 6:00 pm
 

Registration Form

Please reserve _____ seat(s). Total: $_____________________
Early Bird Price: (by Sep 27, 2003) $595 (U.S. funds)    After Sep 27, 2003 - $795

Paying by: ___ Check ___ Visa ___ MasterCard ___ American Express
(Note: Seats are not reserved until payment is received)

Card #: __________________________________________ Expiration:__________

Location: Troy, MI

Name: _________________________________ Title: ________________________

Organization: ___________________________ Industry: _____________________

Address: ____________________________________________________________

City: ____________________________ State: _____ ZIP/Postal Code: __________

Phone: ____________________________ Today's Date: _____________________

E-mail Address: ______________________________________________________

Registration Policy
Seating is limited to help optimize value for each participant. Early registration is extremely important. Absolutely no walk-ins are allowed.
Hotel Accommodations
Accommodations are not included in the registration fee and are the responsibility of the participant. We remmend you stay at the hotel in which the workshop is held.
Cancellations
Registration fees are refundable, minus a $50 service fee, if cancellations are made more than sevel days before the workshop start date, OR the entire fee may be transferred to another scheduled workshop. For cancellations with less than sevel days' notice, fees are transferrable but not refundable. If you do not attend a workshop within one year of the original workshop start date, the entire fee is forfeited.