Collaborative Growth Registration Form
EQ-i CERTIFICATION, EQ 360, EI Curriculum, and TESI® Certification

Name:                                                                      
Company:
                                                                        Title:                                                                     
Address:
                                                                    
City:
                                                                        State:                 Zip:                    
Work Tel #:
                                                                        Home Tel # (Optional):                                                                  
Email:
                                                                       
Web:
                                                                      


Check Class & Dates:

EQi Certification

___ June 4-5 - Denver
___ September 8-9 - Denver
___ December 3-4 - Denver


Investment: $1,397

EQ 360 (following the Cert)

___ June 6 - Denver
___ September 24 - Denver
       (distance training)
___ December 5 - Denver

Investment: $747

EI Curriculum

___ June 6 - Denver
___ September 26 - Denver
       (distance training)
___ December 5 - Denver

Investment: $1697
Team Emotional and Social Intelligence – TESI®
___ September 10 - Denver**
___ October 24 - Wash. D.C.


Investment: $979

ATTEND ALL 3 FOR THE SPECIAL DISCOUNTED PRICE OF $3379!
** Combine the EQi and TESI trainings in September for a 10% discount of $2100

Tuition Payment:

__ Check Enclosed: $__________ 

__ Credit Card (circle) Visa, MasterCard or American Express

Card #: ________________________     Exp. Date: _______

CVS (Security Code) : ________     Billing Zip Code: _______

Signature:


Group discounts available, contact us for details. We will also present this workshop at your business site, contact us for details.

TESI® - Team Emotional and Social Intelligence Survey™ Certification
Contact us for next date – Fee: $979

Please mail or fax your Registration to:   Collaborative Growth
                                                                          P.O. Box 17509
                                                                          Golden, CO 80402
                                                                          FAX to: 1.877.825.6781

Contact Collaborative Growth for more information, including payment, refunds and cancellation policy.

Collaborative Growth, LLC - Connecting People, Purpose & Productivity!
PO Box 17509, Golden CO 80402; Tel: 303.271.0021
Web: www.cgrowth.com   Email: contact@cgrowth.com