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Here's How To Register for Miami Business Events
Ft Lauderdale Business Events - South Florida Business Events

For any South Florida Business Events, or for Group Coaching, please complete the following information...
** are required fields

** First Name:	*
** Last Name:	*
** Position:
** Company:
** Address:
** City:
** State:	AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
** ZIP:
** Office Phone:
Fax Number:
** Email:

How many people will be attending from your company?	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
How did you hear about us?	Received a Letter Received a Postcard Referred by Someone Received a Fax Received an Email Website Other
If you chose "Other", please specify:

For one of our individual seminars, please enter the event date you wish to attend:
For one of our individual seminars, please enter the event time you wish to attend:
For Group Coaching, please check here:	Yes, please sign me up for Group Coaching

We will confirm your ticket and payment terms via telephone.
We accept Visa, MasterCard and American Express for our Miami Florida Business Seminars.

Thank you for your interest in our Miami Florida business seminars.

My vision is success and prosperity in South Florida through business re-education.

Call me now at 305-899-9963 to schedule your complimentary coaching session.

John Layzell
Synergis Business Solutions, Inc.
2235 Magnolia Drive
North Miami, FL 33181
Ph: 305.899.9963
Fax: 305.893.3165
Email: Click Here