Name:

Title:

Company Name:

Company Address:

City:

State:
Zip Code:
Business Telephone:

Home Telephone:

Email:

Is this your first time attending a Women’s Empowerment Conference
offered by AAPI?
yes no
What type of business are you in?

Are you an Entrepreneur?
Yes, I am a No

What workshops are you interested in attending?

An Introduction to Health & Wellness Summit

From Employee to Boss: Making it Big

Motivational Forum: Adapt, Grow and Succeed!

Buy a Home and Keeping a Home:
How to Avoid the Pitfalls of Home Buying and Foreclosure

Financial Empowerment & Wealth Building

Credit Counseling: Did someone say FICO?

Meet the Professional’s: Industry leaders answering your questions
New York City Licensing, Entrepreneurial Development, Score Financing Procurement: Government Contracts, Marketing, Franchising Opportunities
Incorporation vs. Sole Proprietorship

AAPI conference polices and disclaimer

Refund Policy: Sorry, there are no refunds so please forward your ticket onto a women you would like to empower.
Photo and AAPI property Rights Disclaimer: By registering for this conference and in consideration for my admission to the conference and other valuable consideration, receipt of which is acknowledged, I give the AAPI permission to use mailing list, photographs, videotapes, film and recordings in non-commercial publications and presentations that support AAPI. In giving this consent, I release AAPI, their agents and assigns from any liability for any violation of any personal or property rights which I might have in connection with such materials and waive any right to approve accompanying written or narrative material. I represent I am of full legal age.

Please check the box at the left to indicate you have read and agree to these policies.

Fee

$60.00 Registration at door
$45.00 Pre-Registration, closes June 1, 2006
$25.00 Women’s Empowerment Luncheon- Only
$40.00 Meet the Professional’s: Industry leaders answering your questions
$500.00 One Company VIP table for 8 at Luncheon - for relationship and personal building

Payment Information:

Please submit your payment with the registration form made payable to Alexandria & Akea’s Playhouse, Inc. to:
Alexandria & Akea’s Playhouse, Inc,
Suite 15, 2162 Forest Avenue, Staten Island, NY 10303

Check Number Amount