REGISTRATION FORM /

LEADERSHIP COACHING PROGRAM (LCP) KL 2018

PARTICIPANTS & BILLING DETAILS
1st Participant
Name:______
Job title:______
Telephone:______
Email:______
Special Dietary: ______
2nd Participant
Name:______
Job title:______
Telephone:______
Email:______
Special Dietary: ______/ 3rd Participant
Name:______
Job title:______
Telephone:______
Email:______
Special Dietary: ______
Billing Information
Company Name: ______
Contact Name :______
Job title:______
Address: ______
Telephone:______
Email:______

YOUR INVESTMENT

(Includes venue, coffee breaks, lunch, refreshments, training materials and Harrison Assessments Paradox report)

To sign up, please enter number of participants.

Leadership Coaching Program KL / Dates / Investment
Regular
[ ] Leadership Coaching Program / RM 6,490
PAYMENT METHOD
TELEGRAPHIC TRANSFER:
Account Name: PROGRESS U SEA (M) SDN BHD
Account No: 8008008015
Bank: CIMB
Bank Address: Megamall Mid-Valley
Ground Floor (External) Zone 1
Lot G (E)-004 Megamall Mid-Valley
Lingkaran Syed Putra
58000 Kuala Lumpur
Bank Code: 35
Branch Code: 1446
Swift Code: CIBBMYKL
Please email copy of your bank transfer to
PAYMENT BY CHEQUE:
Please send a cross cheque payable to ‘PROGRESS U SEA (M) SDN BHD’ together with your registration form to:
Progress U SEA (M) Sdn Bhd
Suite 11.07, Level 11, The Gardens South Tower,
Mid Valley City, Lingkaran Syed Putra,
59200 Kuala Lumpur /
PAYMENT TERMS
Full payment must be received prior to the program start date or within 3 days from early-bird deadline.
CANCELLATIONS & TRANSFERS
If you are unable to attend, another member of your organisation can be substituted at no charge. Please provide the name, job title and contact details of the substitute delegate at least 2 working days before the start of the course.
A refund minus a charge of RM500 administration fee will be made for cancellations received in writing at least 7 days before the program. No refunds will be made for cancellations received within 7 days before the start date, but a postponement to a later intake is possible at an RM500 administration fee.
Progress-U reserves all rights to amend, cancel and/or change the program, trainer, date or venue if necessary by circumstances beyond our control.
In the event of program cancellation our liability is limited to a full refund of your course fees.

For any enquiries please contact April Chiew at 012-3345646 or email