Coaching for Results Workshop Registration

1Personal Details

2Workshop Details

Participant's Name*
First Last
Participant's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone (work)*
(123)456-7890
Phone (cell)*
(123)456-7890
Email*
joe@example.com
Company Name*
Participant's Manager/Partner Name*
First Last
Manager's/Partner's Phone*
Paid by*
The workshop is payable by a company or personal check made out to The Point, LLC (credit card facility is not available). Once registered, an invoice will be emailed to you for payment. All payments must be received prior to participation in the workshop.
- Company Check
- Personal Check
Please confirm your billing information
- Use the above address and participant's name
- Other
Please address the invoice to
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country