Registration form for 2018 Leadership Seminar

Registration form for Lead Your Team To Win – The Power of Collaborative Leadership: March 15, 2018. Kapok Hotel Trinidad

Name and Role _________________________________________________________________________


Name and Role of Registrants______________________________________________________________


My company’s leadership challenge is _____________________________________________________________________________________________________________________________________________

Questions I want answered



3) ____________________________________________________________________________________

Other areas of leadership that I am interested in


2) ____________________________________________________________________________________

Breakfast is served from 7.30 a.m. Indicate any dietary restrictions______________________


  • I am interested in Group Rate at TT$675 per person for (5 or more)_____ persons. No deadline date.
  • I am interested in Early Registration at TT$675 before January 31 2018 for ______ persons.
  • I am interested in Registering at TT$750 per person for _______ persons

Copies of Lead Your Team To Win will be on sale at a seminar price of TT$120 per copy.
I/We are interested in reserving _____ copies of Lead to Your Team To Win at a total seminar price of $______.

I am paying by Cheque/ Cash/ Paypal . Total Payment ( Seminar and Books) ____________

Cancellation clause : Unexpected stuff happens. If the registrant cannot attend, then, we will be happy to accommodate a named alternate representative. If cancellation is made 7 days prior to event, we offer a full refund.

Signed by __________________ Date _______________________

Name in BLOCK LETTERS____________________

Return registration form to
Invoices will be forwarded on receipt of registration form. Send new vendor registration forms if applicable with registration.
For further information or clarification call / Whats app/ Maxine Attong at 1 868.724.7642 or email.
We look forward to engaging with you March 15th at KAPOK Hotel. Seminar ends at noon.


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