Workshop Registration Form

Registration Form

Please fill in the form below. To be eligible you must make a commitment to attend at least 80% of the class time and be employed or self-employed. All participants are required to conduct a needs assessment with the instructor before the workshop begins (this can be done in person or via phone), this will help customize the course to your needs. If you have any questions you may email info@lebanesechamber.ca
Full Name*

PrefixFirst NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Cell Number*

Area CodePhone Number
E-mail*
Company*
Position/Title*
Which workshop would you like to register for, you may participate in both*

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