Seminar Registration

Diversity Recruitment and Retention Strategies

Seminar Registration Form

Hiring Latinos for Retention Success

[For a full description of the seminar, click here.]

Instructions: To register and pay by credit card securely online, click on the appropriate button below.

If you are paying by check, please scroll down, print the ENTIRE form, complete and mail it with check to Graciela Kenig & Associates, 4334 Ivy Drive, Glenview, IL 60026--1085. Questions? Phone (847) 699-1817.

To register online using a credit card, please click on the appropriate button below.

For 1 or 2 individuals ($295 each):

Participant Information

Last Name
First Name
Title
Company
Street Address
City, State & Zip Code
Telephone
FAX
***E-mail
Participant #2

Last Name
First Name
Title
Company
Street Address
City, State & Zip Code
Telephone
FAX
***E-mail

Thank you. After confirming participant information, please click on "return to form" to complete your purchase below.

Purchase One or Two Registrations:

For 3 or more individuals ($250 each):

Participant Information

Last Name
First Name
Title
Company
Street Address
City, State & Zip Code
Telephone
FAX
***E-mail
Participant #2

Last Name
Last Name
First Name
Title
Company
Street Address
City, State & Zip Code
Telephone
FAX
***E-mail
Participant #3
Last Name
Last Name
Title
Company
Street Address
City, State & Zip Code
Telephone
FAX
***E-mail

Thank you. After confirming participant information, please click on "return to form" to complete your purchase below.

Purchase Three or More Registrations ($250 each):

Seminar Registration Form

Hiring Latinos for Retention Success

Please print and complete this form to fax [(847) 699-1864] or mail your registration [to 4334 Ivy Dr., Glenview, IL 60026].

Please circle one:

--$295 individual registration

--$250* (per participant for group registrations of 3 or more)

All participants must register. Please print and duplicate forms for additional participants and send one payment for all.

Name: ____________________________

Title: ______________________________

Company: __________________________

Address: _______________________________

City, State, Zip:__________________________

Phone: _______________________

Fax: __________________________

E-Mail: __________________________

Payment Method: Please Circle One

Check Visa Master Card

Discover American Express

If you are paying by check, please mail form with check to Graciela Kenig & Associates, 4334 Ivy Drive , Glenview, IL 60026. Questions? Phone (847) 699-1817.

Card Number: ____________________________

Card Verification Number: __________ (a 3 digit code on the back of Visa, Master Card and Discover, or a four digit code above your account number on the front of your American Express card)

Print Cardholder’s Name: ____________________

Cardholder’s Signature: ______________________

Amount Being Charged: _________________

Expiration Date: _________

SPACE IS LIMITED. SEND IN YOUR REGISTRATION TODAY!

Questions? Call 847-699-1817

###

[ Home ]

Send mail to info@latinoworkforce.com with questions or comments about this web site.

© 2007 All Rights Reserved, Graciela Kenig & Associates