Custom Retailer Training RSVP

You’re Invited to Our Custom Training Weekend

We’re excited to have you join us for our upcoming Custom Training. You will receive communication from Shan Willoughby, Amoena Marketing Manager, with more information once you’ve confirmed your attendance.

Please register for the training by completing the below form, and note the following:

Up to two people in your business are invited to join us. Please make sure at least one person joining is a fitter and will be responsible for fitting Custom breast forms.
Only one form needs to be completed for your business.

Please contact our travel agent to book your flight (covered by Amoena) as soon as possible.

Scotty Scoggins, Kingdom Destinations, LLC - (678) 559-6362
Scotty@kingdomdestinations.com
Amoena will book your hotel stay at the hotel where the training will be taking place:

Le Meridien Hotel at Perimeter Mall
111 Perimeter Center W
Atlanta, GA 30346

For travel dates and time suggestions, please see your Invitation/RSVP email from Shan Willoughby

If you have any questions about the training weekend, please contact Shan Willoughby at shan.willoughby@amoena.com.

Custom Retailers Training RSVP

Please Enter Business Name

Please check the size of the value you provided for Business Name, the maximum size for this field is 4000 characters.

Business Name *

Please Enter Primary Email

Please check the size of the value you provided for Primary Email, the maximum size for this field is 4000 characters.

Please enter a valid Email Address

Primary Email *

Please choose one

Please check the size of the value you provided for Joining the Training:, the maximum size for this field is 4000 characters.

Joining the Training: *

Yes, we’d like to join in the training. (Please complete the rest of the form below and click SUBMIT)
No, we aren't interested. (Please scroll to the bottom and click SUBMIT)
No, we can’t make it, but please include us for a future training. (Please scroll to the bottom and click SUBMIT)

Please check the size of the value you provided for First/Last Name of Person Attending #1, the maximum size for this field is 4000 characters.

First/Last Name of Person Attending #1 *

Please check the size of the value you provided for Cell Phone Number, the maximum size for this field is 4000 characters.

Cell Phone Number *

Will this person be bringing a non-training attendee (e.g. a significant other) that will share their room? #1

Please check the size of the value you provided for Yes/No1, the maximum size for this field is 4000 characters.

Yes/No1 *

Yes
No

Please check the size of the value you provided for If Yes, First/Last Name of Person #1, the maximum size for this field is 4000 characters.

If Yes, First/Last Name of Person #1 *

_________________________________________________________________

Please check the size of the value you provided for First/Last Name of Person Attending #2, the maximum size for this field is 4000 characters.

First/Last Name of Person Attending #2 *

Please check the size of the value you provided for Does this person also need to receive event-related emails? If so, enter their email address here: , the maximum size for this field is 4000 characters.

Please enter a valid Email Address

Does this person also need to receive event-related emails? If so, enter their email address here: *

Will this person be bringing a non-training attendee that will share their room? #2

Please check the size of the value you provided for Yes/No2, the maximum size for this field is 4000 characters.

Yes/No2 *

Yes
No

Please check the size of the value you provided for If Yes, First/Last Name of Person #2, the maximum size for this field is 4000 characters.

If Yes, First/Last Name of Person #2 *

__________________________________________________________________

Do any persons have dietary restrictions that should be considered?

Please check the size of the value you provided for Yes/No3, the maximum size for this field is 4000 characters.

Yes/No3 *

Yes
No

Please check the size of the value you provided for If Yes, please list: , the maximum size for this field is 4000 characters.

If Yes, please list: *