Strategic Performance and Change Management, IQPC Exchange

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535 5 Ave, 8 Floor • New York, NY 10017
Point of Contact:
Matt Ryan
Tel.: 212.885.2690
Fax: 212.697.4106
E-mail : Matthew.Ryan@iqpc.com
Sales Code : PMRYAN
Please register us to attend as detailed below
Company:
Address:
Delegate Name Job Title: Phone Number Email Address Pass: Amount:
Total:
Name Phone # Email
Approving Manager
Booking Contact
Payment will be made by:
[] VISA [] AMEX [ ] MasterCard
Card No: Expiration Date:
Name of Cardholder: CVV:
*** Any registrations not accompanied by immediate payment will be subject to a $99 service charge ***