The Heart of Leadership

•Registration•

Please fill out this form and send it along with a $200.00 non-refundable registration fee to the address below, fax it to the number below, or e-mail it to us as an attachment at amba-g@sounddsl.com and put the deposit in the mail, made payable to Gale Consulting Group. The balance of the tuition is due on September 23 , 2009.

                 Clearwater Resort Hotel & Spa • October 14, 15, 16, and November 5, 6, 2008

 

Your Name                                                         On Your Nametag                                   

Title                                                                     Today's Date                                           

Company                                                                                                                             

 

Business Address                                            Home Address

 

Street                                                                   Street                                                       

City/State/Zip                                                      City/State/Zip                                          

Work Phone                                                        Home Phone                                           

 

Preferred Mailing Address: Work                                          Home                                    

            

e-mail address                                                                                   

 

                                                                                                            

Signature                                                                       Date

After we receive your registration, we will send you a letter with further details about the program.

Clearwater Resort Hotel & Spa Room Reservations

If you plan on staying at the beautifully appointed hotel, please indicate below your preferences:

____ $96.00 (plus taxes) value room/no view.           _____ $136.00 (plus taxes) for a water view room.

____ I prefer a room of my own.

____ I plan on attending with ___________________,   and we would like to share a room.

Please indicate when you will want a room. We will be making reservations in your name, and collecting payment for the rooms in advance, at the same time your tuition balance is due (September 23, 2009).

____ Monday, October 14, 2009   ____ Tuesday, October 15, 2009   ____ Wednesday, October 16, 2009

____ Wednesday, November 5, 2009 ____ Thursday, November 6, 2009

____ I will stay longer and will take care of making those reservations myself

 

                                 16416 Agate Point Road NE       Bainbridge Island, WA 98110   Fax  206-842-2691