What's My Type?
The Myers-Briggs Type Indicator (MBTI®)
Workshop Registration Form
Name:
Address:
City:
State/Province:
Zip Code :
Phone:
E-mail:
I am registering for (please check one):
Workshop #1:
Friday, June 19 4:30 pm 7:30 pm
Workshop #2:
Saturday, June 20 9:00 am Noon
Workshop Fee:
$20.00 *
Method of Payment:
Check
Credit Card
If Paying by Credit, please select credit card type...
MasterCard:
Visa:
AMEX:
Discover:
Card Number:
Name on Card:
Exp Date (mm/yyyy):
Electronic Signature:
(please type cardholder’s name here)
By checking this box I agree to charge the above amount to my credit card and authorize NATA to consider it as a valid signature.
Required for Form Submission
* Please note, for registration fee payment made other than credit card (check, PO), we are unable to send your workshop confirmation with password and workshop instructions until full payment received.
Questions about your registration for MBTI® workshop?
Please call 972-532-8849.