Name *

First Name

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Billing Address *

Address 1

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City

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Payment type *

Please choose the organization type that best fits your situation. Prices are exclusive VAT. If you would like to attend the workshop with another member (or members) of your organization, please contact us at doris@dorisgottlieb.com for information on our special group rates.

Employed (corporate/public) €825,00

Self-Employed/Small Business/Small NGO €700,00

Special reduced price for repeating the workshop €350,00

Discounts

Please indicate if you are eligible or a discount

I am a paying member of the Genuine Contact Organization

I am coming together with a work colleague and have indicated their name in the comments section of this form

Staying in touch *

Your privacy is important to me. By signing up for a Genuine Contact workshop, your name may be included on the mailing list of Doris Gottlieb Consultant | Facilitator | Coach. I send out periodic information about Genuine Contact activity as well as short articles and news. Please let me know if you would like to be included on this list.

Yes, I would like to be included/remain on your mailing list.

No. Please do not include me/remove me from your mailing list.

Cancellation Policy *

Please read and indicate you have understood and agree with our Cancellation and Refund Policy:  Should the organizer's need to cancel the event for any reason, you will receive a full refund.  Should you need to cancel your participation we apply the following policy:  Cancellation up to 1 Month prior to the training you will receive a full refund, Cancellation up to 2 weeks prior to the training you will receive a 50% refund. We cannot make refunds for any cancellation made less than two weeks prior to the start date of the training. 

I have read and agree to the cancellation policy for this training.