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The Leadership Challenge Workshop Registration Form
Event Timing: May 2021
Early Bird Registration Deadline: April 2, 2021
This is a Virtual Workshop conducted via Zoom
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Which session(s) will you attend?
*
The Leadership Challenge Virtual Three-Day Workshop: May 4-6, 2021
The Leadership Challenge Virtual Facilitator Training: May 11-13, 2021
LPI Coach Training: May 18-19, 2021
Required
First and Last Name
*
Your answer
Organization
*
Your answer
Title
*
Your answer
Mailing Address (street address, city, state, zip)
*
Your answer
Office Phone Number
*
Your answer
Cell Phone Number
*
Your answer
PRICING OPTIONS
Early Bird Registration qualifies as a Registration Form & Payment submitted by April 2, 2021
Additional Discounts for Government, Nonprofit, and Educational Organizations
Please choose from the following pricing options:
*
Choose
Three-Day Workshop - Early Bird Registration - $2,295
Facilitator Training - Early Bird Registration - $2,295
LPI Coach Training - Early Bird Registration (if you already possess a Facilitator Kit purchased after May 2017) - $1,295
LPI Coach Training - Early Bird Registration (if you will need a Facilitator Kit) - $1,995
Three-Day Workshop + Facilitator Training - Early Bird Registration - $4,390
Three-Day Workshop + LPI Coach - Early Bird Registration - $4,090
Facilitator Training + LPI Coach - Early Bird Registration - $3,390
Three-Day Workshop + Facilitator Training + LPI Coach - Early Bird Registration - $5,685
Three-Day Workshop - Government, Nonprofit, & Education Early Bird Registration - $2,095
Facilitator Training - Government, Nonprofit, & Education Early Bird Registration - $2,095
Three-Day Workshop + Facilitator Training - Government, Nonprofit, & Education Early Bird Registration - $3,990
Three-Day Workshop + LPI Coach - Government, Nonprofit, & Education Early Bird Registration - $3,890
Facilitator Training + LPI Coach - Government, Nonprofit, & Education Early Bird Registration - $3,190
Three-Day Workshop + Facilitator Training + LPI Coach - Government, Nonprofit, & Education Early Bird Registration - $5,285
Three-Day Workshop - Full Price - $2,595
Facilitator Training - Full Price - $2,595
LPI Coach Training - Full Price (if you already possess a Facilitator Kit purchased after May 2017) - $1,395
LPI Coach Training - Full Price (if you will need a Facilitator Kit) - $2,095
Three-Day Workshop + Facilitator Training - Full Price - $4,990
Three-Day Workshop + LPI Coach - $4,490
Facilitator Training + LPI Coach - Full Price - $3,790
Three-Day Workshop + Facilitator Training + LPI Coach - Full Price - $6,385
METHOD OF PAYMENT
Please choose ONE of the following options and provide the necessary information.
Invoice Me
Please provide the Name, Address and Email Address of the Organization/Contact to be Invoiced
Your answer
Send Me a Request for Payment via Paypal
Please provide the Name and Email Address of the person making payment -- NOTE: a 3.5% processing fee will be added to the total workshop amount when paying by credit card
Your answer
Mail a Check
Please make check payable to Tom Pearce and mail to iLead Consulting & Training, 204 Troon Road, McKinney TX 75072
Yes
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