REGISTRATION FORM - Visual Coordinations by Carole Talbott

VISUAL COORDINATIONS CERTIFICATION COURSE
REGISTRATION FORM 2007
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Hands on Workshop at

Welcome to Carole Talbott's World of Visual Coordinations

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An official hard copy will be forwarded to you by regular mail.

Full Payment and registration form must be received to ensure enrollment. Remember, early registration payment and hotel reservations are a must.

Please make checks in the amount of $3,500.00 payable to: Visual Coordinations by Carole Talbott, Inc.

FAX REGISTRATION FORM TO: 772-220-2326

Mail Registration Form to:
Visual Coordinations by
Carole Talbott, Inc.
3 Quail Run Lane
Stuart, FL 34996

Phone in Registration:
772-220-8144

* We do not accept online orders to protect you, our valued customer.
Please print the form and fax it to us | 772-220-2326.

QUESTIONNAIRE

Please fill out questionnaire and fax or mail with your registration.

How did you hear about Visual Coordinations® by Carole Talbott and the certification program?

What is your current occupation?

Is there a specific interest that we need to be aware of?

What are your expectations with taking this course?

What are your goals when you return home from our five-day certification training?

Please return this form with your registration

e-mail: carole@ctalbott.com
phone: (772) 220-8144 ... fax: (772) 220-2326
address: 3 Quail Run Lane, Stuart, FL 34996