Registration
Form for
Certificate Program for
Negotiating, Collaborating
and Leading in Today's World
Vermont/ New Hampshire Program ̶
Winter 2008-2009
December 9-11, 2008 and January 7-8, 2009
Fireside Inn and Suites, West Lebanon, New Hampshire
Please print
this page, fill out the Registration Form, and Fax it to: 802
457-1501
OR Mail it to: Woodstock Institute for Negotiation, Pomfret
Stage Road-Drawer 29, Woodstock, Vermont 05091
Name:
_____________________________________________ I go by (for Name Tag):
__________________
Company/Organization: ________________________________________
Position: ____________________
Street
Address:
______________________________________________________________________________
______________________________________________________________________________
City:
_____________________________________________ State: _______________ ZIP:
______________
Work
Phone: ____ ___________ Home Phone: ____ ___________ Fax: ____
___________
E-Mail
Address: ____________________________________________________________________
Fees:
___ December 9-11, 2008 & January 7-8, 2009 $ 1,595.00 $_________
___ Completion of Certificate Program ($225.00 if paid
later) $ 195.00 $_________
___ Late Fee if WIN receives payment after
December 1, 2008 $ 100.00 $_________
Sub-Total
$_________
Less
Discounts:
___ Early Registration if WIN receives payment by
October 6, 2008 -$ 50.00
$_________
___ Multiple Employees Registering for same
program -$ 50.00 $_________
___ Government & Non-Profit Full-Time
Employee -$ 300.00 $_________
___ Repeating Entire Program -$
300.00 $_________
Total Amount Due
$_________
Payment:
___
Payment Enclosed ___ Payment
will be mailed
(Please make check Payable to
"Woodstock Institute for Negotiation")
Please
Charge to: __ VISA __ MasterCard __ American Express __ Diners Club
Card Number: _______________________________________ Expires: ___ _____
Name as it appears on card:
_____________________________________________
Signature:
___________________________________
Policies of the
Woodstock Institute for Negotiation for this Program:
Cancellation
Policy:
Up to 14 days prior to the beginning of the first
session, you are allowed to cancel your registration entitling you to a refund
of your payment less a cancellation fee of $50.00. No refunds will be
given after this time, but you will be allowed to send a substitute person to
the program for which you registered OR you or your substitute may attend a
future Certificate Program for Negotiating, Collaborating and Leading in
Today's World for a re-registration fee of $100.00. If you attend the
first session and are unable to attend the second session, you may attend a
future second session of the Certificate Program for Negotiating, Collaborating
and Leading in Today's World for a re-registration fee of $50.00.
Early Registration: This discount of $50.00 is only available if full payment of the
registration fee is received by the Woodstock Institute for Negotiation on or
before October 6, 2008.
Government/Non-Profit
Employees: This discount of $300.00 is only
available to full-time employees of a 1) a state, county or local government
entity; 2) a federal government entity; or 3) a Non-Profit organization which
qualifies under federal law as a 501(c)(3) tax-exempt charitable, educational
or religious organization.
Multiple
Employees: If multiple employees of the same
company, organization, or state or federal agency register for all five days of
the same training program, then each of the employees shall be entitled to a
discount of $50.00.
Hotel Accommodations: Hotel accommodation are NOT included with your registration
fee. You can make your own reservations
at the Fireside Inn & Suites ($89.95 per night) by calling them at: 603
298-5900 or 877 258-5900
If you are not able to print
this Registration form, please send us an e-mail or call us and we will fax or
mail the Registration Form to you.
If you have any
questions, please call us Toll Free at: 800 457-3211
September 27,
2008
|
|
|
Woodstock
Institute for Negotiation |