Registration Form
Ethics & Fraud in the Business Environment Seminar
Belize City, March 4, 2015

  1. Corporate/Personal objectives/expectations from workshop

  2. Personal Details

    Title
    Surname/Family Name
    Given/Other Names

  3. Contact Details

    Company/Organization
    Address
    Telephone Number
    Email Address

  4. Employment Details

    Name of Company
    Position/Job Title

  5. Do you have any dietary restrictions? Please indicate.

  6. How did you hear about our workshop?

    Chamber of Commerce
    ICAB Mailing
    Other (please give details)

  7. Workshop Fee Payment

    Bank draft or cheque made payable to Belize Chamber of Commerce and Industry, 1st Floor, Withfield Tower, 34792 Coney Drive, Belize City. Please cantact Yorshabell Cattouse (501) 223 5330 for further information.
    Participant Name    Date
    Sepia Associates LLC, 17 Highview Drive, Sewickley PA 15143 USA
    Fax: (412) 741-6727 E-mail: info@sepiaassociates.com. Tel: (501) 223-5330