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Character Driven Leadership
Registration Page
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Email
*
Your email
If you would like to talk with me before you complete this form, send me a message and we will find time to connect kathy@silverrivercoaching.com
I am so glad you are registering for the program!
Complete this form to register and I'll be in touch!
🔵 Your first and last name
Your answer
🔵 The email address you want me to use for the program
Your answer
🔵 Your phone number(s)
Your answer
🔵 Your mailing address
Your answer
🔵 What agency/organization/business do you work for?
Your answer
🔵 What is your role/job title at work?
Your answer
🔵 Tell me a bit about why you want to join the program and what you hope to get out of it.
Your answer
🔵
The cost of Character Driven Leadership is $3500 CAD
🔵 How will you be paying?
I'll send you a link for payment.
*
E-Transfer
Credit Card
Invoice my organization (put details below please)
Other:
🔵 If you have any additional details regarding what you need or want on the invoice, please include that here:
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Send me a copy of my responses.
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