Registration Form

ILGE Registration Form

Basic Information

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Name

Title

Company

Address

City

Country

Zip Code

Telephone office

Telephone Mobile

Fax

E-mail

Type of Payment

Check

Purchase Order

Wire Transfer Acct. No. 020335022, HSBC Middle East Limited, Dubai , UAE ,HSBC Swift Code: BBMEAEAD

(Made out to Institute for Leadership and Global Education (ILGE)

Credit Card (Number)

Type

Signature

Expiration Date

Name as it appears on Card (Printed in Block Letters)

Invoice Me. Please invoice my company as follows:

Contact Name

Company Name

Address

City

Country

Zip Code

Telephone –Office

Fax

TOTAL AMOUNT DUE:

Additional Information

My job title	Chairman/Owner/Partner
	CEO/MD/President
	VP/Director/GM
	Manager/Department Head
	Supervisor
	Professional

	Other
My job function	Accounting / Finance
	General Management
	Human Resources/Personnel
	IS/EDP
	Manufacturing/Production
	Marketing/Sales
	Other
The nature of my business	Advertising/Communication/Media
	Architecture/Construction/Real Est.
	Automotive/Transportation
	Banking/Finance/Insurance Sec.
	Computer/IT
	Consulting/Education/Training
	Distribution/Retail/Wholesale
	Electronics
	Professional Services (Accounting, Legal, Medical)
	Telecommunication
	Other

	ILGE 2007 CALENDAR

	PQ-21 EXECUTIVE EDUCATION DIPLOMA PROGRAMS

	THE EXCELLENCE IN LEADERSHIP DIPLOMA PROGRAM (Executives – Managers)
	Fee: $3000 USD per person.

	Leadership Skills for Managers:
	Reaching Beyond the Boundaries (LM010)
	March 19-22, 2007 - Dubai
	November 5-8, 2007– Abu Dhabi, UAE

	Leadership EQ: How to Develop and Use Emotional Intelligence for Success (LM020)
	April 23-26, 2007 – Abu Dhabi
	December 10-13, 2007 – Dubai
	Leading and Empowering High Performing Groups and Teams (LM030)
	May 21-24,2007 - Dubai
	Strategic Leadership: Planning and Change (LM040)
	June 18-21, 2007 - Abu Dhabi




	THE FOUNDATIONS OF LEADERSHIP BOOT CAMP: THE NEW MANAGER DIPLOMA PROGRAM (Front-line and Supervisors)
	Fee: $2300 USD per person.

	Leading and Working With People (LF010)
	March 26-28, 2007 - Abu Dhabi
	November 12-14, 2007 – Dubai

	Improving Communication Skills (LF040)
	April 30 – May 2, 2007 – Dubai
	December 17 - 19, 2007 – Abu Dhabi
	Mastering Leadership Supervisory Skills (LF020)
	May 28-30, 2007 Abu Dhabi , UAE

	Managerial Leadership Effectiveness (LF030)
	June 25-27, 2007 Dubai , UAE

	SPECIAL EVENT
	Gain powerful new ideas to drive growth, creativity, and innovation in your company.
	Transformational Leadership and Change
	(90-minute Special Feature Event with Dr. John Keenan - Webinar)
	Fee: $99 per person; $249 for small groups connecting to one computer; $499 for larger conference room groups connecting from one computer.
	Available on-demand.
	❑ On Request - Internet
	* Schedule and location subject to change. Please check website or contact ILGE for updates.

	4 ways to register:
	Call
	+971-4-367-1370 or +971-050-853-8235
	Online www.institute-leadership-global.org

	Fax
	1+971-4-366-4588

	Mail
	Send completed registration form to:
	The Institute for Leadership and Global Education (ILGE)
	Knowledge Village ,
	POB 502221
	Dubai , United Arab Emirates

	For additional information:
	Call +971-4-367-1370
	or +971-50-853 -8235
	E-mail: inquiries@institute-leadsership-global.org
	Web: www.institute-leadership-global.org

	Program location:	Contact us for the location of each
		program.
	Lodging:	Overnight guest rooms are
		available at locations programs are held with discount rates provided for attendees. For more information call +971-4-367-1370
	General information:	Lodging information will be sent
		with your enrollment confirmation. If you have any special needs, please let us know at the time of registration. Requests will be kept confidential.

	Cancellations and substitutions	If you are unable to attend a program, you
		must notify the registration office at
		+971-4-367-1370 to cancel or make a substitution.
		Cancellations must be in writing and received by ILGE:
		• More than 3 weeks before program No charge
		• 3 weeks or less before program 100% of program fee
		No shows: If you do not attend a program, and have not made arrangements with the registration office, you will be charged 100% of the program fee. Substitutions: You may send a substitute at any time at no extra cost.

		*If a program is not held for any reason, the Institute’s liability is limited to*
		the refund *the program fee.*
		*Fees are subject to change without notice*