Prioritizing & Time Management Registration Form

The Grayson Group Inc.

Prioritizing & Time Management Registration Form

PLEASE PRINT AND MAIL THE FOLLOWING FORM

TBD

Name:_____________________________________________________________

Title:______________________________________________________________

Organization:_______________________________________________________

Phone Number:______________________________________Ext.___________

Mailing Address:____________________________________________________

___________________________________________________________________

City:______________________________________State:_______Zip:__________

Name Preferred on Name Tag ________________________________________

E-mail:____________________________________________________________

Please check method for payment of $695.00 registration fee.

Payment in full is due prior to session.

___ Check enclosed payable to: THE GRAYSON GROUP INC.

___Bill to Organization: Attention______________________________________

Purchase Number_______________________________

___Bill AMERICAN EXPRESS

Account Number_____________________________________________

Expiration Date______________________

Authorized Signature_________________________________________

PLEASE MAIL REGISTRATION FORM WITH FEE PAYMENT TO:

The Grayson Group Inc.

433 E. Las Colinas Blvd.

Suite 1250

Irving, TX 75039

OR FAX FORM TO: (972) 869-4775

(AMERICAN EXPRESS CREDIT CARDS ONLY)