Monday July 17th (12:30 - 4:30pm) and Tuesday July 18 (12:30 - 4:30pm) - Soft Skills Solutions© Virtual Training Session

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* 1. Attendee Contact Information

Company (This name will be used on the list of organizations that deliver the program.) *

First Name (the name you want on your certificate) *

Last Name *

E-mail Address *

Job Title *

Business Phone (including extension) *

Address *

City

Postal Code *

Province (other than Ontario) *

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* 2. Which field of work are you in?

Employment Services

Literacy/Adult Education

Both

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* 3. This training costs $200 per attendee. Do we invoice you directly?

Yes

No

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* 4. IF NO, please complete the contact Information for the person who will be processing the invoice and looking after payment. NOTE: Only complete information that is not duplicated above (i.e. name or email).

Company

First Name

Last Name

E-mail Address

Job Title

Business Phone (including extension)

Address

City

Postal Code

Question Title

* 5. Manager Contact Information (The signing authority at your organization for SSS Training Delivery Agreement. It is an organizational document). NOTE: Only complete this section if different from yourself or the person in charge of invoicing.

First Name

Last Name

E-mail Address

Job Title

Business Phone (including extension)

Address

City

Postal Code