The Chair Academy : WLDI Returning Registration Form

The Chair Academy - Worldwide Leadership Training for Post Secondary Leaders

Leadership Academy

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Returning Registration Form

Please fill in the information below. After submitting this form, please click the "back" button on your browser toolbar to return to your class web page.

Hotel & Meal Costs:

If you are staying at the hotel:
$70.00 for a single plus tax - $90.00 for a double plus tax
When making your reservations, the booking name is Wisconsin Leadership Development Institute.
Please make your Hotel Reservations by May 1, 2009
These charges are paid directly to the hotel.

Food Package and Facilities Fees - $210 - this includes 5 breakfast, am & pm breaks, 5 lunches and 2 dinners.
This fee is paid directly to The Chair Academy

Registrant Information:

First Name:

Last Name:

Title:

Department:

College:

Street Address:

City:

State:

Zip Code:

Country:

Email:

Work Phone:

Fax Number:

Cancellation & Transfer Policy

Before a progam begins, substantial administrative costs related to your registration are incurred. Therefore, the following fees apply:

# wks before program	substitutions	transfer	cancellation fee
more than 4 weeks	Yes (no fee)	None	None
3-4 weeks	Yes (no fee)	None	$75
less than 3 weeks	Yes (no fee)	$75	$125

By submitting this form, you are stating that you have read and agreed to the cancellation and transfer policy and accept its terms.

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The Chair Academy's
2012 International Leadership Conference
March 26-29, 2012
Atlanta, Georgia

Hosted by
Georgia Perimeter College

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