John Black and Associates LLC
 

Application

A print form of the application can be accessed by clicking here.

The deadline for application is: February 15, 2010 for the May seminar, July 18, 2010 for the October seminar.
Register early, only 45 slots available for each session.

Participant Name:

Please choose seminar date: May 17-21, 2010 October 18-22, 2010

Company:

Company Address: Zip Code:

Telephone: Fax: E-mail:

Company Products: Job Title:

Seminar Fee:

The fee for the seminar is US$3,900. This includes lunches, workshop materials, certificate, team photos, refreshments and one dinner.
Payment, in full, 30 days prior to the registration deadline, is required to reserve your space.
No refund if cancelled after the registration deadline.
Transportation, during the seminar, to and from the hotel, located near Genie-TEREX Industries, is provided.
Transportation to and from the airport and the hotel is not provided.

Accommodations:

Special rates and rooms will be reserved to accommodate participants. Please mention that you are attending the Kaizen seminar. Accommodations are not included in the seminar fee.

Special Instructions:

Genie is a heavy equipment manufacturing company. Steel toed shoes or toe caps are required, and must be purchased by participants attending this event. For more information, contact event coordinator.

Registration Information:

Register online at johnblackandassociatesllc.com or by filling out this form and faxing it to John Black and Associates at (206) 528-4819.
Register by March 1, 2010 for the May seminar. Register by August 1, 2010 for the October seminar.
All registrations will be confirmed by John Black and Associates by return e-mail.
Once registered, payment maybe wired to Washington Mutual Bank, Seattle Washington, USA.
The wire transfer number is: 325-07-07-60, and the account number is, 388-108567-1.
Payment can also be made by check payable to: John Black and Associates, LLC 4327 N.E. 42nd St., Seattle Washington 98105.
Seminar administrative questions can be answered by the John Black and Associates seminar coordinator, Heidi Black at heidi@johnblackandassociatesllc.com.
Other questions can be addressed to John Black at: john@johnblackandassociatesllc.com or by calling (206) 353-0979.
The seminar size is limited. Early registration is recommended. Teams will be formed from the 45 slots available.

© 2010 John Black and Associates LLC