Registration Form

Registration Form*

First Name & Middle Initial
Last Name
Organization Name
Position Title
Mailing Address
Mailing Address Continued
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL
Name of Workshop/Program
Date of Workshop/Program
Select Method of Payment	You must select one:
Credit Card Number
Expiration Date
Exact Name as on Credit Card
Exact Billing Address of CC

IMPORTANT: This is NOT a secure website for transmitting credit card information. A more secure method would be to print this page and send via fax (864-322-5646) or telephone (864-268-3550).

However, if you wish to transmit the above information over the internet to The Sinclair Group, Inc., simply click on the "Submit" button below, after assuring that the information is correct.

Checks should be sent to: The Sinclair Group, Inc., Attn: Program Registration, 224 Bransfield Rd., Suite 100, Greenville, SC 29615

*NOTE: This form is to be used to register for a program or workshop. Completing the form does not guarantee registration, since programs and workshops may be at capacity enrollment or the dates/locations may have changed. Please complete the form and submit it. You will receive an e-mail to confirm your registration or with further information; or feel free to call Mel Sinclair at 864-268-3550 or e-mail Mel@SinclairGroupInc.com with any questions.

Thank you for choosing The Sinclair Group, Inc. for your Leadership Development needs. Let us know if we can be of help or if you need further information.

Contact us at: The Sinclair Group, Inc., 224 Bransfield Rd., Suite 100, Greenville, SC 29615

Tel: 864-268-3550 Fax: 864-322-5646

E-mail: Mel@SinclairGroupInc.com