REGISTRATION FORM                                         


Registering in....

Course: Leadership By Design, Durango, CO
Dates: August 21 - 26, 2008
Dates: October 23 - 28, 2008


Contact Information

Name:
Name for nametag:
Title:
Organization:
Email (required):
Street / PO:
City:
State:
Zipcode:
Country:
Office Phone:
Home Phone:
Cell Phone:
Fax:
Best time and number to call:

Payment Details

I will pay the deposit by check, amount:
made out to InSpirit Consulting, and will mail it to:

InSpirit Consulting Registrations - Shakti
50 River Oaks Drive, #104
Durango, CO 81303

The balance is due on or before 3 weeks prior to the start date of each program.
 

I will pay the deposit by PayPal, amount:
using the PayPal button, after submitting this form...

The balance is due on or before 3 weeks prior to the start date of each program.

I will pay the balance by check of :
made out to InSpirit Consulting, and will mail it to:

InSpirit Consulting Registrations - Shakti
50 River Oaks Drive, #104
Durango, CO 81303
 

I will pay the the balance by PayPal, amount:
using the PayPal button, after submitting this form...

By checking this box I indicate that I have read, understand, and agree to the Refunds & Cancellations Policy. (required)

For a cancellation 30 days or more before the course begins all but a 25% non-refundable fee will be refunded.

There are no refunds for cancellation fewer than 30 days before any course. However, all payments except the 25% non-refundable fee can be transferred to another course within 6 months of cancellation. Refunds will be remitted within 30 days.

 

Press this button to send us all the above information.
   
Press this button to erase all the above entries from the from and begin anew.