Customized Registration
Please fill in the Event Name, Event Description, and Event Price boxes.
The information will be used to create a Paypal transaction.
You do not need to have a Paypal account to use this registration form.
| Event Name: | ||
| Event Description: (and your name) | ||
| Event Price (USD): | ||
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You can also register by sending your check to the following address:
(Please indicate the option that you have chosen on the check)
Vision-In-Action Leadership Institute
1173A Second Avenue
Suite 187
New York, NY
10065
