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The Workshop That Works The Wonder Within!
CONTACT INFORMATION |
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| *Last Name | * indicates required field | |
| *First Name | ||
| Middle Name/Initial | ||
| Street # | ||
| Street Name | ||
| *City | ||
| *Province/State | ||
| *Postal/Zip Code | ||
| *Contact Phone | ||
| *Contact Email | ||
| PROFESSIONAL INFORMATION | ||
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| Retired | ||
| WORKSHOP REGISTRATION INFORMATION | SATURDAY APRIL 26TH, 2013 8:30AM-5:30PM @ THE CENTRE FOR SOCIAL INNOVATION, TORONTO |
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With PayPal you can make payments easily with any Major Credit Card or your Pay Pal Account |
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| SPECIAL OFFER - PARTICIPANT OPTION 1 | I would like to register and pre-pay online. Workshop Participant fee. $350.00 | |
| SPECIAL OFFER - PARTICIPANT OPTION 2 | I would like to register and pay at the door. Workshop Participant fee. $375.00 | |
| SPECIAL OFFER - OBSERVER OPTION 1 | I would like to register and pre-pay online. Workshop Observer t fee. $150.00 | |
| SPECIAL OFFER - OBSERVER OPTION 2 | I would like to register and pay at the door. Workshop Observer fee. $175.00 | |
13% HST will be added upon payment to the above prices. |
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| QUESTIONNAIRE | To help serve you better, please take a few minutes to answer the following questions. | |
| Question 1 | Would you be interested in participating in other Passionation programs? | |
| Question 2 | Would you be interested in particpating in private coaching sessions with Irene or Adrian? | |
| Question 3 | How would you prefer to hear from Passionation via emai, fax or print? | |
| Question 4 | Do you currently or have you ever worked with a Communications Coach? | |
| Question 5 | Do you or have you ever participated in a Dale Carnegie, Toastmasters or other coaching program? | |
I do not wish to be contacted by Passionation. |
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If you have any comments or questions please include them in the comment field below. |
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Thank you for your interest in Passionation. Please fill out the form below to ask a question and someone will reply to you.
Your Email:
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| Upon clicking Submit you will be re-directed to PayPal to complete your registration with your payment. | ||
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| ©2014 Shadowlight Productions |