Leadership Legends Candidate Participation Form

Yes, count me in… I am excited about this opportunity
I am confident I can fulfill the attendance requirements
Enclosed is my check for $50.00

Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Please detail any physical limitations or dietary restrictions we need to accommodate:

 
   
Community Vision, Inc. 704 Generation Point, #101, Kissimmee, FL 34744
Ph: 407-933-0870    Fax: 407-933-0942