To Sign up for

please print this page.

SIGN
UP
FORM

Mail or FAX this form to:

Sinickas Communications, Inc
151 Kalmus Drive, Suite B170
Costa Mesa, CA, USA 92626
FAX: (714) 241-8661
, Tel: (714)241-8665

 


Yes, Please sign me up for the two-day workshop
"
Proving Your Worth" with Angela Sinickas
.

__ Long Beach, CA, April 4-5, 2005
__ New Orleans, LA, April 27-28, 2005
Registration fee: US$1,950.00 (Group Discounts Available)
Fee includes: A copy of Angela Sinickas' classic manual
"How to Measure Your Communication Programs" ($260 value);
Continental breakfast and lunch both days.
Fee excludes travel & accommodations.
Cancellations:
All cancellations of registration must be made in writing. If cancellation is received at least three weeks before the event, you will be entitled to a 50% refund. Regrettably, no refund can be made after that time. 

Name

_______________________________________________________

Title

_______________________________________________________

Organization

_______________________________________________________

Address

_______________________________________________________

Address

_______________________________________________________

City

______________________________State/Province_______________

Country

__________________________________Postal Code_____________

Telephone

__________________________FAX_________________________

E-mail

______________________________________________________

Check One:

____

Check or Money Order Enclosed

____

Charge my Credit Card: __VISA, __MC, __DC, __AmEx, Other: ___________


Please enter your Credit Card Number & Expiration Date:

|__|__|__|__| - |__|__|__|__| - |__|__|__|__| - |__|__|__|__|

Expires(MMYY): |__|__|__|__|         Card ID Number: |__|__|__|__|

Name on your credit card (if different): _____________________________________________

Please sign here:___________________________________________________Date:_______

 
Home