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The Best in Business Networking Training

Contacts Count

Trainer Application Form

April 21-23, 2010, Train-the-Trainer in Kansas City or
October 20-22, 2010, Train-the-Trainer in Washington, DC

I acknowledge that I have read, understand
and accept the terms of the Training Agreement.

Name of Trainer (please print)________________________________________________

Trainer′s Signature________________________________________Date_______________

Organization______________________________________Division____________________

Title_________________________________________________________________________

Your Business Address_________________________________________________________

City/State/Zip_________________________________________________________________

Business Phone___________________________ Cell Phone___________________________

Organization Web Site _________________________________________________________

Trainer′s email (please print) ________________________________________________

Which Course? Check one:

_______ April 21-23, 2010, Train-the-Trainer in Kansas City

_______ October 20-22, 2010, Train-the-Trainer in Washington, DC

Please mail this Application, the Trainer Agreement and your Resume
with your check ($4,000 for one or $7,000 for two applicants) to:

Contacts Count LLC
Lynne Waymon
1400 East-West Highway, Suite 1228
Silver Spring, MD 20910

USA

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