Registration - Compassionate Systems Leadership in Jakarta, December 9-11, 2019
Please fill out the following registration form. Once form is submitted, you will receive an invoice for the tuition of $3,000 (or $500 for below 25 year-old).
Email address *
First Name *
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Last Name *
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First Name for Name Tag
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Title/Position name *
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Organization *
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City, State, Zip *
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Country *
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Cell phone number *
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Dietary restrictions *
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How did you hear about the program? *
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Photo Release Permission *
I hereby grant permission to the Center for Systems Awareness to use photographs and/or video of me taken on during the Workshop in publications, news releases,online, and in other communications related to the mission of the Center for Systems Awareness.
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Cancellations and Substitutions Policy *
All cancellations must be received in writing to mkito@systemsawareness.org. A cancellation fee of $500 will be incurred for all cancellations received in writing before November 11 (4 weeks prior). A cancellation fee of $1,800 will be incurred for cancellations between November 11 and November 25 (2 weeks prior). NO refunds will be granted for cancellations received after November 25. You may arrange for a substitute participant at least two weeks before the program. Should Center for Systems Awareness need to cancel the program, participants will receive a refund of their tuition, but no reimbursement for booked flights or other travel or program-related expenses.
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Please let us know if you have any questions or comments?
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