Leadership Academy: Group Rate/Invoice Registration Form
Please complete this form to receive the group rate (20% discount for groups of 10 or more) or to pay by invoice. If you have any questions, please reach out to Erin Brooks at
ebrooks@accelerateinstitute.org
.
First Name
Last Name
Email
School/Organization Name
Please select the Leadership Academy track you are registering for:
Leadership Academy Institute (6-day)
Leadership Academy Plus (1-year)
How many participants would you like to register?
Please enter the names and email addresses for all participants. If you do not have participant names confirmed yet, mark "TBD" and we will follow up.
First and Last Name of Billing Contact for Invoice
Email for Billing Contact
Phone Number for Billing Contact
How will you be paying?
Credit Card
Check
If a purchase order is required, please include the number here.
Do you have a coupon/promo code? If yes, please enter it here.
I have read and I accept the cancellation policy: *Refunds requested within 48 hours of registering will be honored minus a $50 cancellation fee. *Up to 1 week beforehand, a one-time registration transfer can be made to an alternate participant or another learning experience. *Within one week of the learning experience registrations are non-refundable and non-transferable. *A missed learning experience is non-refundable and non-transferrable. *In the rare event that Accelerate Institute does not receive enough interest in this offering to host it as scheduled, we will provide an alternate learning pathway for all registrants or honor refunds for those who cannot join the alternate experience.
Yes
Contact Information