Executive Education Registration Center

To register for one of our courses, please complete the form below. Payments may be made with American Express, MasterCard, Visa or EnRoute credit cards. Receipt of your payment constitutes confirmation of your enrollment. The location of the course will be included in the confirmation to you.

You may also register by phone at 1-800-397-9744 or by fax at 1-800-397-9389. In North America call us toll-free at 1-800-397-9744  |  Fax: 1-800-397-9389
Outside of North America call (01) 514-937-7130  |  Fax: (01) 514-937-7674

Course Information
Course:
Date:
City:
Personal Info
Name: Position:
Organization: Division:

Address:

 

City:

 
Province/State: Country:
Postal/Zip Code:
Phone: Fax:

E-mail:
How did you learn about this course? (You may select more than one)
__By Fax Advisory
__By Mail (brochure)
__By Email
__Referred by Colleague
__Intervista Website
__Search Engine
__Other:

Credit Card Information
__VISA __Mastercard __American Express __En Route
Card Number: Expiry Date:
Signature:_____________________________

To register more participants, please submit and complete a new form.

All applicable taxes are extra. Substitutions may be made at any time. Cancellations are accepted up to two weeks prior to the course. A $100 service charge will be applied. All cancellations must be made in writing by e-mailing info@intervista-institute.com or faxing 1-800-397-9389. Late cancellations will not be refunded, but enrollment fees may be credited to any future Intervista course. Intervista Inc. reserves the right to postpone, cancel or change scheduled dates or venues, as well as the right to substitute course leaders with other qualified experts.

CLOSE WINDOW