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):

You can also register by sending your check to the following address:
(Please send a descriptive note with the check)

Vision-In-Action Leadership Institute

1173A Second Avenue
Suite 187
New York, NY
10065