TELESEMINAR REGISTRATION FORM Name___________________________________ Address________________________________________City____________________________________ State______________ Zip Code______________ Email_________________________________________Fax_____________________________________ Phone___________________________________ PAYMENT METHOD ( All TeleSeminars $40.00. Recordings $25.00 + $1.50 S/H) Check is enclosed______ Please charge my credit card_______ Visa_____ Master Card_____ Discover_____ American Express_____ Card Number_______________________________ Exp. Date__________________________________ Name on Card______________________________ Signature__________________________________ TeleSeminar Schedule (All programs are 1 hour in length). Please check the program(s) desired _____ Negotiating to Win/Win: Conflict Resolution in Relationships - January 6, 2010 at 10:00 a.m. ET _____ Stress For Success: Managing the Stress in Your Life – February 3, 2010 at 10:00 a.m. ET _____ Creative Problem Solving: Finding New Solutions – March 3, 2010 at 10:00 a.m. ET _____ Motivating Followers: Carrots Over Sticks – April 7, 2010 at 10:00 a.m. ET _____ Taking Initiative: How to be More of a Leader in Your Own Job – May 5, 2010 at 10:00 a.m. ET _____ Personal Effectiveness: Strategies for Effective Living - June 2, 2010 at 10:00 a.m. ET _____ Making Meetings Work: Planning and Organizing Meetings – July 7, 2010 at 10:00 a.m. ET Please check for the recording(s) desired. _____ Negotiating to Win/Win: Conflict Resolution in Relationships _____ Stress For Success: Managing the Stress in Your Life _____ Creative Problem Solving: Finding New Solutions _____ Motivating Followers: Carrots Over Sticks _____ Taking Initiative: How to be More of a Leader in Your Own Job _____ Personal Effectiveness: Strategies for Effective Living _____ Making Meetings Work: Planning and Organizing Meetings _____TeleSeminar(s)$_______ _____Recording(s)$________ Total Order $___________ To register please print the form and fax it to 606-539-4136. Or you may mail the form to: Dr. Michael B. Colegrove Hutton Center for Leadership Studies University of the Cumberlands 7197 College Station Drive Williamsburg, KY 40769