Women in Leadership Program (2023)

Your Information

• Please provide your contact information as the person registering the participants. You will then receive a confirmation email upon completion and submission of the registration information. All registered participants will receive their own confirmation emails and calendar invites for the event.

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:

Invoicing Information

• * Registered Company Name
• * Registered Company Address
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• Billing Name & Address (if different)
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• * Accounts Payable Contact Name
• * Accounts Payable Contact Phone
• * Accounts Payable Contact Email
• Purchase Order number (*if required*)

Participant Information

• You can complete one registration for multiple participants if (a) they will all be part of the same program (either Accelerate or Advance and Thrive) and (b) they will all be invoiced to the same legal entity. If this is not the case, please complete separate registrations. Please separate participants information with a ; in each text box.

• * First Name/s
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• * Last Name/s
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• * Preferred Name/s (for name badge)
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• * Job Title/s
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• * Participant Email/s
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• *

  Which program will participants attend?

  • Accelerate (9 & 10 May)
  • Advance and Thrive (9 & 10 May and 7 & 8 Jun)

• Please contact us for any questions or if you would like to provide us with additional information not listed on this form