Online Registration Form

FACILITATOR CERTIFICATION
Based on the book
FOLLOW YOUR INNER HEROES TO THE WORK YOU LOVE
14 Continuing Education Hours Available
Free Lunch Included, Free Parking
September 23-24, 2014, Long Beach, CA


This is the registration form if you are paying by check or company purchase order. If you are paying by credit card, please skip this form and <Click Here> so you will not have to do duplicate data entry on the secure credit card site. 

For US attendees please send payments to Carolyn Kalil, PO Box 2804, Malibu, CA 90265. Please make checks out  to DreamMaker Publishing, Inc.

Please let us know if you have any special needs to see if we can accommodate them.Refund policy: 100% prior to September 1, 2014.  After that date there's a $50 non-refundable charge.
 

Name

Email

Company

Homephone

Workphone

Address1

Address2

City
State
Zip
Country
Fax
Primary Inner Hero

How did you hear about this?
Training

You will receive an automatic email acknowledging your registration. I will be in contact with you by email as the training grows nearer. If you have any questions, please contact me directly at Carolyn@InnerHeroes.com