A Cisco Entrepreneur Institute Training Center

Registration Form

Sales Team Development
May 31 – August 16, 2012
12 sessions: Every Thursday evening 6-9pm
$ 1,250

Participant Information

Name:	Home Address:
Company Name:	Home Phone:
Title:	Mobile Phone:
Website:	Work Phone:
Education: Degree & Year	Email:
In which sector does your business operate?
Please list any professional associations, groups, clubs, or organizations you belong to:

Preferred Social Networking Site: Click here to choose

English Proficiency:

Speaking: Click here to choose	Reading: Click here to choose	Writing: Click here to choose

Payment Details

Workshop Selection	Payment to be made:	Method of Payment:

Signature: ________________________________________ Date: _____________________

For more information, please contact AMIDEAST at the contact info below.

To reserve your place, please submit this form by fax or email no later than May 12, 2012:

Address: Bazerkan Bldg, 1st floor, Nijmeh Square, Riad El Solh St. Beirut Downtown

Phone: +961 1 989901 ext: 234	Fax: +961 1 989901 ext: 100

Email: ajerab@amideast.org Website: www.amideast.org/lebanon

Payment should be made payable to: EXPAND. (Call if you want someone to pick up your payment.)

Registration will be complete upon finalizing registration with AMIDEAST and payment with EXPAND.