Exclusive Coaching Session Registration Form

Strategic Marketing Plan: Exclusive Coaching Session

Presented by DeTora Consulting, with guest speakers from JL Media

Space is limited – sign up today
Two dates & locations to choose from:

Thursday, January 16th 1pm – 3pm
Club Wyndham at National Harbor
250 Mariner Passage
National Harbor, MD 20745
Registration deadline: January 15th

Thursday, January 23rd 1pm – 3pm
Jay Suites 34th Street
Large Meeting Room D
W 34th Street
New York City, NY 10001
Registration Deadline: January 22nd

There is no cost to attend this special event, but pre-registration is required. To reserve your spot, please complete the form below. Registration closes January 22, 2020.

Exclusive Coaching Session Registration Form

Please select which date/location you are registering to attend*
Attendee Name*
First Last
Company*
Title*
Email Address*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Would you like to register additional attendees?*
- Yes
- No
Up to three additional attendees may be registered through this submission.
How many additional attendees do you wish to register?*
Up to three additional attendees may be registered through this submission. If you have additional attendees, please submit a second registration.
Attendee #2 Name*
First Last
Company*
Title*
Email Address*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Attendee #3 Name*
First Last
Company*
Title*
Email Address*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Attendee #4 Name*
First Last
Company*
Title*
Email Address*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Please detail below if there are specific topics and/or questions you'd like to have addressed at the seminar: