Welcome to the Weekend!Radical Business Intensive Registration Form - Pay What You Can Name First Last Phone (cell if you've got one):Website Email What's your twitter handle?Which city will you be attending the workshop in?EdmontonTorontoWhat is the name of the person who told you about this workshop? (we like to say thank you!):Please send us a good headshot photo of you that we can put on the page for this workshop.Please send us a paragraph or two bio/story of yourself to help us and the other participants get to know youI understand that this is a Pay What You Can event. I will attend the entire event and then decide what I want to pay at the very end.YesNoFor more ideas on the whole pay what you can model go to: http://theradicalbusinessintensive.yolasite.com/pay-what-you-can.phpI understand that I am being asked to pay with FOUR cheques. One payable immediately (or cash) and the second, third and fourth cheques postdated for anywhere up to a year - for any amounts I choose (based on the value I got and my ability to pay). No pressure. No catch. No funny business:YesNohttp://theradicalbusinessintensive.yolasite.com/pay-what-you-can.phpI understand that there are limited spaces, so I want you to know that . . .I am 100% sure I'm coming, for sure. I'll be there.I am 90% sure I'm coming. I really want to.For more ideas on the whole pay what you can model go to: http://theradicalbusinessintensive.yolasite.com/pay-what-you-can.phpI understand I need to make a $100 payment to reserve my spot and that my attendance is NOT confirmed until this is received.YesNoTo read the cancellation policy go here: http://theradicalbusinessintensive.yolasite.com/cancellation-policy.phpIs there anything else you'd like us to know or to ask us before the event?How would you like to pay for your weekend?*Pay What You Can + $100 Deposit: You pay with FOUR cheques - or cash - one payable immediately (or cash) and the others post-dated up until a year from the event for any amount you like. Really. No catch. No pressure. No funny business. No amounts to small or too large. There is a non-refundable $100 deposit because I've found it's so easy for people to no show on an event they've never paid for. You feel me. If even $100 is a stretch - you won't be turned away - just email me and we'll work something out.This is your $100 deposit to confirm your attendance at the weekendTotal $0.00 Credit CardAmerican ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Billing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country