a Personal Skills Course Registration Form

Training & Development

Course Registration

Kindly fill in the following form, print it out, sign it, stamp it and fax it

to IMI on the following fax number : (202) 573-3550.

Course Title:
Course Date:
Participant Name:
Organization:
Position:
Telephone:
Fax:
E-mail:

Method of payment:	Check Cash
I am entitled to a group discount:	Yes No
I am entitled to a client loyalty discount:	Yes No

Signature: Company Stamp:

Cancellation policy:

In case you wish to cancel participation on a scheduled program you registered for, we happily welcome a colleague of yours to take your place. Alternatively, we request a written notification of cancellation four weeks before the start of the program. Otherwise, we will be unable to refund the fees. The program may change and IMI reserves the right to alter the venue and/or the speakers due to any unforeseen reasons.