Emerging Leaders - NEW registrations Name* First Last Organization*Position*Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Work PhoneMobile Phone*Email* Food allergies we should be aware of:Do we have your permission to share your name and contact information with your Peer Leadership group?*YesNoDo you want to receive periodic updates from Fire Inside Leadership?*YesNo The program fee is $2500 plus HST. An initial deposit of $500 plus HST is required at registration to reserve your space and the balance will be invoiced in February 2020.
