TalkPower® Public Speaking Without Stress
Seminar Registration Form
To order by phone, call (800) 525-3718 / (212) 684-1711.
To order by e-mail, contact Natalie H. Rogers.
To order by mail, complete and print out the Order Form and mail it to:
TalkPower, 333 E 23rd Street, Suite 11B, New York, NY 10010-0471
Name:______________________________________________________
Address:____________________________________________________
City:_______________________________________________________
State:_____________ Zip:_____________________
Occupation:_________________________________________________
E-mail Address:______________________________________________
Home Phone:________________________________________________
Work Phone:________________________________________________
Cost: $995
Please enclose a check for $200.00 as a deposit for the Stress
Seminars For Public Speaking.
The balance of $795.00 is due upon registration at the seminar.
(Please make check payable to TalkPower, Inc.)
Payment Type:
[ ] VISA [ ] MASTER CARD [ ] AMERICAN EXPRESS
Credit Card Number:__________________________________________
Expiration Date:_____________________________________________
Name on Card:______________________________________________
Signature:__________________________________________________
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TalkPower®
Telephone: (800) 525-3718 or (212) 684-1711
Fax: (646) 349- 4720
Mailing Address: 333 E. 23rd Street, New York, NY 10010-0471
©2002 TalkPower Inc.