ENROLLMENT FORM

Congratulations in taking the first in your career advancement! Please complete the enrollment form below. 

You can launch you career now in three simple steps:

  1. Select a course(s)
  2. Fill out Enrollment Form
  3. Pay the enrollment fee (simply click on the PayPal button next to the course for which you are enrolling)

    BE SURE TO SAVE A COPY OF THIS PAGE FOR YOUR RECORDS. 

To Return to Home Page Click Here 

  1. Please provide the following contact information:

    First Name
    Last Name
    Middle Initial
    Organization (optional)
    Street Address
    Address (cont.)
    City/Suburb
    State/Province
    Zip/Postal Code
    Country
    Work Phone
    Home Phone
    FAX
    E-mail

  2. Please indicate the program for which you are enrolling:

    Description SKU # Price* ENROLL NOW
    ONLINE MODULES

    xxxx

    Pharmaceutical Sales Module

    RS0001

    		 $385
    General Sales Module

    RS0002

    		 $385
    Product Manager's Marketing Program RS0003 $495
    Road Scholars: Sales Management Program RS0004 $495
    Emotional Intelligence Training Module RS0005 $275
    Personality Profiling Training Module RS0006 $275
    Time Management Training Module RS0007 $275
    ( all modules include a bonus follow up teleconference)

    Please note all prices include 10% Sales Tax.*
    FACE-To-FACE TRAINING (Victoria, Australia Residents Only)
    Pharmaceutical Sales Training RSFF01 $385

    General Sales Training

    RSFF02

    		 $385
    Product Manager's Marketing Program RSFF03 $990
    Road Scholars: Sales Management Program RSFF04 $990
    Emotional Intelligence Training RSFF05 $275
    Personality Profiling Training RSFF06 $275
    Time Management Training RSFF07 $275
    ( all modules include a bonus follow up teleconference)

    Please note all prices include 10% Sales Tax.*
    Face-to-Face Trainees: Please note you will be contacted within three (3) business days via email or phone to schedule your course date and time. You may also contact us directly on (61) 0413-297-617 or (61) 3-9576-8486 / gotham@netlink.com.au

  3. What personal / career goals do you hope to achieve by taking this course(s)?


  4. Briefly describe your work history:


  5. To complete your program enrollment, 100% of course fees must be paid within five (5) business days prior to the course. Please note our REFUND POLICY: 

    No refund will be given for online training courses. 
    For face-to-face training programs, the following refund schedule will apply.

    Two (2) weeks or more prior:  50% of tuition will be refunded for face-to-face enrollments for which notification of cancellation is received two (2) weeks or more prior to the date for which the course has been scheduled. 

    Less than two (2) weeks prior:  0%  of tuition will be refunded for face-to-face enrollments for which notification of cancellation is received leased than two (2) weeks prior to the the date for which the course has been scheduled. 

Road Scholars Training
Copyright © 2005  Daniele A Lima.  All rights reserved.
Revised: January 15, 2006