19688 Blossom Lane
Grosse Pointe Woods, MI 48236
Phone: 313-886-6868 · Fax: 313-886-4910

1010 Bowers Suite B
Birmingham, MI 48009
Phone: 248-649-1234 · Fax: 248-649-9070

2017 Executive Stress Seminar Registration

*required

Traveler*
Traveler's Legal Name: Birthdate
Street Address: Home Phone Number:
City: Cell Phone:
State/Province: Zip Code:
Email Address:
Payment Information*
Credit Card Call in Credit Card Mail Check
Card Holder's Name:
Credit Card Number:
Expiration date:
Security Code:
Destination Choices*

Payments: All payments will be charged to a credit card or mail check

Executive Stress Management Seminar Feb. 23 - 27, 2017 $2,569 per person ($2,669.00 after Oct. 14th)

Please complete and submit form online or mail to:

Kristi Lewis
Travel by Pathfnders
19688 Blossom Lane
Grosse Pointe Woods, Mi 48236

We strongly recommend purchasing travel insurance through a third party source such as AIG Travel Guard. You can purchase this insurance on your own or we can do it for you. In order for the pre-existing conditions and financial default by a supplier to be covered, insurance must be purchased within 7 days from date of deposit.

I understand the terms and conditions and cancellation policy of the supplier.*

I would like to purchase travel insurance from a third party provider(AIG Travel Guard)