Open Seminar Registration Form
Registration Information:
 Please
send a brochure with more information about the seminar
Enclosed
is my (our) check for $ ___________
$295 (U.S. Currency) per person
Spouses FREE (unless employed
by the same company as registrant)
Please
reserve my private consultation with Wayne Alderson
PLEASE COMPLETE ALL INFORMATION:
(Additional names may be submitted on separate sheet)
__________________________________________________________________
Name
Title
__________________________________________________________________
Company
Work Phone
__________________________________________________________________
Address
__________________________________________________________________
City, State, Zip
Home Phone
__________________________________________________________________
Email Address
__________________________________________________________________
Spouse's Name (if attending both days)
__________________________________________________________________
Name
Title
__________________________________________________________________
Company
Work Phone
__________________________________________________________________
Address
__________________________________________________________________
City, State, Zip
Home Phone
__________________________________________________________________
Email Address
__________________________________________________________________
Spouse's Name (if attending both days)
__________________________________________________________________
Name
Title
__________________________________________________________________
Company
Work Phone
__________________________________________________________________
Address
__________________________________________________________________
City, State, Zip
Home Phone
__________________________________________________________________
Email Address
__________________________________________________________________
Spouse's Name (if attending both days)
Make check payable to and mail with this form:
(Check must accompany registration -
Credit Cards Not Accepted)
Value of the Person Consultants
246 Washington Road
Mt. Lebanon
Pittsburgh, PA 15216
Phone: 412-341-9070
Fax: 412-341-4850
Email us at: info@valueoftheperson.com
|
