Livewired Group Registration
>> Feel free to contact us at 749-6027, or
If you need us to email you a registration form, so that your manager or supervisor can authorise it, get in touch.
See you in May!
Email address *
Contact info
First name *
Your answer
Last name *
Your answer
Phone number *
Your answer
E-mail address *
Your answer
Organisation *
Your answer
Your job title *
Your answer
Billing info (for invoice)
Billing address *
Your answer
Address invoice to *
Your answer
Human Resource Department contact person
Your answer
Dietary preferences
Pick your option *
Any food allergies? *
Your answer
How did you hear about the workshop?
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Payment & cancellation policy
By submitting this registration, participants and/or organisations agree to abide by the terms and conditions laid out herein. We will send you an invoice within one day of receiving your registration.

1. Registration is confirmed upon receipt of this form and payment.
2. Payment is required prior to the workshop, and no later than May 5, 2017 to secure your space.
3. Persons paying for themselves must make a deposit of 50% to secure their spot. Feel free to call us if you have any questions.
4. A fee of 50% of the cost will be applied to cancellations received on or after May 1, 2017.
5. Cancellations received seven (7) working days before the workshop will not be refunded.
6. Should a registrant be unable to attend, your company may send another person in his/her place.
7. ‘No shows’ are subject to full invoicing.

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