Mastering the Powers of the Internet

ICIWorld Seminar Booking Form

Fill in as much or as little as you have time for. We will contact you later.

Today's Date

- Day - Month Year

Booking Date and Time:

Subject to change.

Better to book an estimated time than no time at all. We can always change it later.

This field is to book a date even if it is approximate.

- Day - Month Year

at

: Hour Minutes

Your Primary Company website address:

Full Name

First Name Last Name

Designation:

E-mail

Phone Number

- Area Code Phone Number

Cell Number

- Area Code Phone Number

Your Assistant's Name

First Name Last Name

Assistant’s Email

Assistant’s Number

- Area Code Phone Number

Please provide Contact Information for someone in the office who can help our Booking Team.

Designated Contact

First Name Last Name

Designated E-mail

Designated Phone Number

- Area Code Phone Number

Designation:

Brokerage Name:

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

If you are unsure about a date and time, please tick the box and we will discuss the arrangements when we call.

Please call!

Tick here

The Breakdown: this information assists our instructors.

How many Sales Representatives work from this location?

Number of Representatives Expected To Attend:

Number of Representatives who do Commercial:

Number of Representatives who do Residential:

What day is your weekly/monthly meeting?

Do you have a Weekly or Monthly Meeting? Please select one:

Weekly Monthly We do not have regular meetings.

Do you have a meeting room?

Do you have a projector?

Is there internet access?

Special Instructions or Comments?