REGISTRATION FORM
* NAME
* COMPANY
* EMAIL
* PHONE
CITY
COUNTRY
* SEATING CHOICE
* HOW MANY SEATS?
*PREFERRED PAYMENT OPTION
HOW DID YOU HEAR
ABOUT THIS EVENT?
PLEASE SPECIFY
Are you interested in learning about the benefits we offer our sponsors?
SEATING CATEGORIES
SILVER
AED 795/-
- Welcome Bag
- Workbook and Souvenir Pen
- Gallery Seating
- Reserved seats strictly for those booking
  before 10th March 2012 only
GOLD
AED 1295/-
- Welcome Bag
- Workbook and Souvenir Pen
- Orchestra Seating
- Book – How To Get From Where You Are
  To Where You Want To Be – Signed by
  Jack Canfield
- Reserved seats strictly for those booking
  before 10th March 2012 only
PLATINUM
AED 1895/-
- Welcome Bag
- Workbook and Souvenir Pen
- Reserved Seats in the first 6 rows
- Book – The Success Principles – Signed by
  Jack Canfield
- Exclusive Welcome Dinner with Jack Canfield
  on 9th April at RITZ CARLTON, DIFC –
  7pm to 9 pm

Tuesday, April 10th
5:00 pm - 9:00 pm