WORKSHOP REGISTRATION FORM
To register for Facilitation Skills For Trainers and Team Leaders please complete the following registration form:
REGISTRATION FORM
Registrant's Name Title Organization Street Address Suite, Room, Mailstop, etc. City State/Province Zip/Postal Code Country Work Phone FAX E-mail
Workshop fees: The individual fee for this one day workshop is US $399.00. The fee for 3 or more people attending from the same organization is US $359.00 per person. The fee includes refreshments (including breakfast pastries), as well as a complete take-home participant's workbook and "Certificate of Participation" at the end of the program.
Complete this section for additional registrations for the same workshop:
ADDITIONAL REGISTRANTS
NAME TITLE
DATES AND LOCATIONS
Please select the workshop session of Facilitation Skills For Trainers and Team Leaders you wish to attend (please highlight one):
Oct. 20, 2004 -- Salt Lake City, UT. area
CREDIT CARD PAYMENT
If you wish to pay by credit card, please complete the following: (your information will be on a secure connection)
Credit Card (please highlight one) VISA MasterCard American Express Cardholder Name Card Number Expiration Date
Cardholder Name
Card Number
Expiration Date
INVOICING
If you want to pay from an invoice, we require a credit card to guarantee payment. We will send you an invoice and await payment until the date of the workshop. If payment has not been received by the date of the workshop, the credit card will be charged. Please complete the credit card information above.
Where should we send the invoice? (please highlight one)
(If you wish to be invoiced, and the billing information is different than the registration name and address, please complete the billing section below. )
BILLING ADDRESS
Please enter any special requirements, comments, etc. about your registration in this note pad section:
Cancellation Policy: Cancellations are accepted at no charge up to 5 working days before the workshop. Later cancellations or no shows are responsible to pay the entire workshop fee. Once paid, a "Certificate of Transfer" is issued valid for attendance at a future workshop of comparable value during the next twelve months. Substitutions and transfers may be made at any time at no charge.
In the event of a cancellation of a workshop for any reason, The Training Clinic's liability is limited to the return of registration fees only.
. . . America's Train-the-Trainer leader since 1977
