Welcome! We are delighted you have chosen to join us for our Women’s Leadership Community. All the information you will need to know is outlined in this registration process. Women's Leadership Community Registration Name* First Last Email* Phone*Company*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code In the event we have to mail materials to you, please put the mailing address you would like to receive them at.What type of mailing address did you list?* Business Residential Any dietary restrictions, allergies or food preferences we should know of?Leadership Outfitters provides snacks and lunches every month. Please let us know if you have any dietary restrictions, allergies, or food preferences.Want to add more value to your leadership development?We offer three 1-hour individual coaching sessions with the program coach, for your just-in-time needs throughout the program. $400 for three 1-hour individual coaching sessionsAdd 3 coaching sessions for $400No, thank youWhich payment option would you like?*By CheckBy Credit CardMonthly payment plan: $408 every month for 8 monthsPlease make check out to Leadership Outfitters and mail to: 1299 Fort Ellis Road Bozeman, MT 59715 *Please note, this program fills up quickly, therefore, your registration is not confirmed until payment is received.Total $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name Cancellations made 45 days or more in advance of the program start date, will receive a 100% refund less processing fees. Cancellations made within 45 days of the program start date will incur a $400 cancellation fee.