Carleton & Company: Coaching, Consulting & Training

Carleton & Company, Inc.
Color Me Excellent REGISTRATION

You are now registering your participation in the Color Me Excellent program.
An invoice for $16,800 will be sent to you upon receipt of your completed online registration.
You will not be expected to pay at this time.

First Name
Last Name
Title (Sr.Jr.II, III, Dr.)
Home Street Address
City	StateZip code

Who recommended you for the CME program?

Recommended By

Their Phone Number

Your Employment

Company Name

Position

Business Address

City

StateZip code

Phone Numbers

Work

Cell

Fax

E-Mail Address

Primary

Secondary

Emergency Contact

Contact 1

Phone

Contact 2

Phone

Contact 3

Phone

Payment Information: Make your checks payable to:

820 South MacArthur Boulevard, Suite 105-320
Coppell, Texas 75019

CME Cancellation Policy

CME Substitution Policy

Due to the inherent costs of establishing, holding, and refilling participant slots along with associated administrative costs, the following cancellation charge schedule has been established:

3 to 6 weeks prior: participant will be charged 50% of program fee.
Within 3 weeks: participant will be charged 100% of program fee.

Cancellation fees are based on the number of weeks from the class start date of the first session. All cancellation notices must be received in writing (e-mail communication will suffice).

*Qualified substitutes for registrations
     can be accommodated with advance
     written notice prior to the start of the
     program.

*After the start of the program, all
     requests for substitution will be
     for consideration only by
     Carleton & Company.

A cancellation or substitution must be submitted and confirmed in writing. Cancellations and substitutions should be sent to Grace Carleton at 820 S. MacArthur Blvd., Suite 105-320, Coppell, TX 75019 or fax to 972.745.1438.

Type "yes" if you read, understand, & accept the above terms of the cancellation and substitution policies.