The Joy of Being a Life Worth Living

•Registration•

To register, please fill out this form and send it along with a $200 non refundable registration fee or full tuition ($1450) to the address below, fax it to the number below, or e-mail it to us as an attachment at <amba@galeleadership.com> and put the deposit in the mail, made payable to Gale Leadership Development, LLC. The tuition is due in full on April 13, 2011.

May 4, 5, 6 and May 20, 2011

Your Name _____________________________	On Your Nametag __________________
Today's Date ____________________________
Company __________________________
Business Address Street __________________________________ City/State/Zip ___________________________ Work Phone ____________________________	Home Address Street __________________________________ City/State/Zip ___________________________ Home Phone ____________________________
Preferred Mailing Address? Work _________       Home _________
e-mail address ____________________________________________
___________________________________________________________________________________________________________       Signature                                                                                                                                                                         Date Gale Leadership Development LLC    16416 Agate Point Road NE, Bainbridge Island, WA 98110 Fax number: (206) 842-2691 www.galeleadershipdevelopment.com