The Leadership Circle 360 Feedback Profile Registration


	WORKSHOPS

	Introduction
	The Authentic Leader
	Open Enrollment Dates & Fees Register Now
	Mastering Leadership
	Pathways to Partnership

The Authentic Leader Workshop Registration

Please fill out this on-line registration form and complete all questions. After you submit your registration, you will receive e-mail acceptance to the workshop program. You will also receive logistical information and instructions for taking The Leadership Circle Profile. Payment in full is then required in order to reserve your seat. You will be invoiced. Payment can be made by check, Visa, MasterCard, or American Express.

ALL FIELDS REQUIRED

Workshop Registration Fee . . . . . . . . . . . . . . . .$1,850.00
Fee for members of The Leadership Circle . . . $1,450.00


	Washington DC- Gaithersburg, MD	2008-June	18, 19, 20	Wed-Fri

Name:

Email:

Position:

Company:

Type of Business
or Organization:

Street Address:

Street Address 2:

City:

State or

Province / Territory:

Zip / Postal Code:

Country:

Office Phone:

Cell Phone:

Fax:

Are you a member of The Leadership Circle? (not a prerequisite)

Yes
No

Have you previously completed TLC Profile within 12 months of training date?

Yes
No

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The information you provide will not be shared or sold to other companies.

You can also e-mail your questions to The Leadership Circle
or call us toll free at (800) 895-0399