RiverWays Enterprises Registration Form

Ticket #_____
RiverWays Enterprises Workshop Registration
Welcome and thank you for your interest in the Elemental Speaking^sm Intensive workshop or teleclass. Since this is not a secure site, please do not send payment information by email. Instead, print and complete this form, then either fax it (617-484-6257) or send it in by regular mail. If you intend to fax it and have not notified us previously of your intent to register, please click here to advise us by email so that we can expect your registration.

Name:__________________________________

Work Phone:______________________________

Cell Phone:_______________________________

Company Name:__________________________________

Home Phone:____________________________________

Email Address:__________________________________

____ $275
____ $250

Elemental Speaking One-Day Intensive Workshop
Early bird price (faxed or postmarked 7 days before the workshop)
Date: ____________________

Payment Total: ________________________

Payment Method:

________	By check (payable to RiverWays Enterprises). Send to P.O. Box 79081, Belmont, MA 02479-0081.
________	By credit card (fax to 617-484-6257 or mail to above address). _____Visa _____Master Card _____American Express
	Card Number:________________________________________ Expiration Date:___________
	Signature:___________________________________________ Today's Date:_____________ Name as it appears on the card:_______________________________________________________ Billing Address:_______________________________________________________________________ _____________________________________________________________________________________

Withdrawal Policy: You may withdraw from an Elemental Speaking workshop or teleclass with full refund less a $30 cancellation fee if you send us written notification (anne@riverways.com) more than one week prior to the beginning of the program. If you cancel with written notification in less than a week's time, your tuition will not be refunded but can be applied to any other RiverWays Program.

Newsletter subscription: By enrolling in any of our programs you will automatically receive a subscription to our two newsletter, RiverWays News and The ABCs of Presence in Public Speaking Toolkit. Please notify us by email if you'd prefer not to receive either one or both newsletters.