Class Registration

Generated with MOOJ Proforms Basic 1.2
* Required information.
First Name * Your First Name
Last Name * Your Last Name
Street Address * Your Current Home Address
Unit Your Unit Number
City * The City You Currently Live In
State * The Current State You Live In
Zipcode * Your Current Zipcode
Telephone Your Current Telephone Number
Cell Phone * Your Current Cell Phone Number
Fax * Your Current Fax Number
Email * The Best Email Address To Get A Hold Of You
Class Name * Please Select A Class You Are Interested In Attending
Class Date * Please Specify The Date Of The Class
Terms * I understand that all ExecuProv class enrollments are kept to a minimum in order to ensure individualized attention. As such, I understand that my absence may disturb the dynamics of the class. Therefore, I agree that when I enroll in a ExecuProv workshop, I will be fully responsible for attending and for the tuition for the class. Also, I understand that the class tuition is due immediately upon submission of this form either via credit card (subject to 5% service charge), or within 3 days via check. Should I become unable to attend, I agree to send someone in my place. Should I become unable to attend and ExecuProv is able to fill my space seven days prior to the class date, I understand I may apply my tuition toward a future class depending on class availability.
I Agree
Your Full Name * Your Full Name (Should Match First & Last Above)
Today's Date * Enter In Today's Date 1000
Payment Type * Please Specify How You Plan On Paying
Credit Card
Check
Other
If other, please specify payment type If You Plan On Paying Without Credit Card Or Check Please Let Us Know How.
Select Credit Card Type Please Specify Which Type Of Credit Card You Plan On Using
Visa
Mastercard
Credit Card Number Please Specify The Credit Card Number On Your Credit Card
Name on Credit Card Please Specify The Name On The Credit Card Exactly As It Is Shown
Expiration Date Please Specify The Expiration Date Of The Credit Card
Credit Card Verification Number Please Specify The Credit Card Verification Number Listed On The Back Of Your Credit Card

Testimonials

  • Thank you for dedicating your time, energy and efforts to share your expertise and insight with our Staff, Faculty and Cadet facilitators...
    Col. Ronald P. Clark, US Army
  • What a great idea. ExecuProv has changed the way I present myself at the podium and on tour.
    Gus Lee, Best-Selling Author
  • Cherie has an amazing insight into communication. She makes it fun, entertaining, quite humorous and easy to remember.
    Ellen Gambrell, Production Admin at Lexus
  • Cherie and her approach to communication hits the heart and head at the same time and has tremendous results.
    Tom Orbe, VP Infiniti
  • Cherie Kerr brings a fresh look to dealing with difficult communication problems. In a unique way, she re-visits and reminds us that organizations are really people.
    Dr. Newton Margulies, University of California, Irvine
  • I would recommend the use of this program to anyone who is serious about training and developing superior trial attorneys.
    Richard Schmidt, LA City Attorney's Office
  • ExecuProv greatly helped to improve my verbal communication skills, and I would wholeheartedly recommend them to anyone needing improvement.
    Glenn Hale, GM at Anaheim Hilton

About Us

ExecuProv

809 N. Main St.

Santa Ana, California 92701

This email address is being protected from spambots. You need JavaScript enabled to view it.

(714) 550-9900