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

___ Feb. 23-24, 2011 - Denver, CO
___ June 22-23, 2011 - Washington, DC
___ Sept. 7-8, 2011 - Denver, CO
___ Dec. 7-8, 2011 - Denver, CO

Investment:
$1597
EQ 360

___ Mar. 4, 2011 - Webinar
___ June 30, 2011 - Webinar
___ Sept. 16, 2011 - Webinar
___ Dec. 15, 2011 - Webinar

Investment:
$797
Team Emotional and Social Intelligence – TESI®

___ Feb. 25, 2011 - Denver, CO
___ June 24, 2011 - Washington, DC
___ Sept. 9, 2011 - Denver, CO
___ Dec. 9, 2011 - Denver, CO

Investment:
$497
EI Curriculum

___ Distance Training*
___ Distance Training*

Investment:
$1297

*
**
***

^

Contact us for distance training dates
Combine the EQi and TESI trainings for a 10% discount of $1885
Attend the EQi, 360 & curriculum courses for the special discounted price of $3682

Ask about August classes special pricing.

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.

Please mail or fax your Registration to:   Collaborative Growth
                                                                          P.O. Box 17509
                                                                          Golden, CO 80402
                                                                          Fax: 1.877.825.6781
                                                                          International Fax: 1-973-273-2155

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