Register NOW for Your Fall 2018 Gems Retreat & Mastermind Events
RSVP Required by July 15th, 2018
$200.00 REFUNDABLE Deposit per OFFICE. In order to properly plan for meals and retreat space, your credit card will be charged $200 per office. The FULL $200 will be REFUNDED the week after you ATTEND the retreat (or if you CANCEL PRIOR to 8/12/2018)
Spouse (Gold/Gold PLUS May Substitute One Key Staff): Doctor Name:
GG12 & GG12 Alumni Team Attending:
City: State: Doctor’s Cell Phone:
Deposit : MC VISA DISC AMEX Card # (Will be refunded week after you attend)
Use my credit card on le
Exp Date: Signature: Today’s Date:
Please enter into each line, the TOTAL NUMBER attending EACH event
Wednesday Evening GG12 Dinner at the Orent home Thursday GG12 Event Presentations and GG12 Coaches Panel Thursday Evening GG12 FIVE-STAR CELEBRATION Dinner Friday GG12 Doctor and Spouse Advanced Brainstorming Session Friday GG12 Team Members’ BREAKOUT Mastermind Session Friday Evening Gold, Gold PLUS & GG12 Dinner at the Orent home
Saturday Gold, Gold PLUS, GG12 Doctor & Spouse Lightning Mastermind Session Saturday Gold and Gold PLUS & GG12 Team Members’ BREAKOUT Mastermind Session
Please enter any special dietary needs here:
After registering for the event, you will receive a connrmation which will include a link to book your room(s) in the event hotel at our group rate if space within the Gems group block remains available.
Register NOW for Your Fall 2018 Events Complete & Fax this Form to: 1-508-879-2468 or Call 1-888-880-4367 or 001-508-872-0066
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