Registration for February 24 and 25 Program for
“Onboard and Indispensible”
Please use this registration form for all attendees for the February 24 and 25, 2010 program presented by Barbara Brannen and Bob Heavers called “Onboard and Indispensible.” We know you will find these two days fascinating and fulfilling.
Program is at:
South Denver Cardiology Center
Main Training Room
1000 South Park Drive
Littleton, CO 80120-5665
(Directions – South Park Drive is west of South Broadway just north of C-470)
Program is from 8:30 am to 4:30 pm both days
Please arrive at 8 am to enjoy a continental breakfast and coffee with us.
Lunch is provided on both days; please indicate here if you have any dietary restrictions we need to allow for in your meals. ________________________________________________
Dress is casual and comfortable, drinks and snacks are provided for morning and afternoon breaks.
Program includes:
1. Two days in a lovely setting in a facilitated program that helps all participants to be more successful in any endeavor. You will have an opportunity to hear great information, do challenging exercises, work with groups on discussion items, play with new ideas, options and learn.
2. You will receive handouts for the program both during the two days and in the month after you attend.
3. You will receive several books for further reference and education
4. You will receive a list of “Bob and Barbara’s Best Picks!” listing other resources for you. You will also receive access to “Our Village” of other providers.
5. You will receive a personal phone coaching session on the topic of your choice in the month following this program.
REGISTRATION FORM February 24, 25, 2010
(One Form per Participant Please)
Name ____________________________________________________________________________
Job Title (if applicable) ____________________________________________________________
Company_________________________________________________________________________
Address__________________________________________________________________________
Phone_________________________
Cell___________________________
Email_____________________________________________________________________________
Alternate Email (if you would not like things to go to your work email) __________________________________________________________________________________
Best way to contact you, (email, phone, other) ______________
Payment Method - $295 per person, ($750 for 3 participants)
____Check payable to EveriBodi Matters, LLC
____Please invoice
____Credit Card with this registration
Card Number ___________________________________________________
Security Code ______________ Expiration Date Month _________ Year __________
Name on Card __________________________________________________________
Address for Card/Billing _________________________________________________
____On-Line Credit Card Payment Option done at Register Here
: http://www.w3shoppingcart.com/cart/product.cfm?i=38317&c=3065
Please fax this form to 303-973-3041 Or Email to Christian@everibodimatters.com
Or mail to:
Barbara Brannen
Everibodi Matters, LLC
11988 West Cooper Drive, Littleton, CO 80127
Questions? Call Barbara at 303-984-9271, Bob at 303-680-5015, Christian 720-560-9852