Diversified Management Group

Registration Form:

If needed, a printable version of the registration for is available by choosing the print option in your browser menu. Tip: If all fields are pre-filled prior to selecting the print option in the browser menu, the printable form will print with the answers given.

On-site registration or walk-ins will be accepted only on a space available basis, so register early to reserve a seat. Please complete a separate form for each person who registers to attend this program and retain a copy of the completed form as evidence of pre-registration. Registration confirmation will be sent upon receipt of payment and will include directions and parking information.

Printable version of Registration Form

Personal Information

Please make all checks payable to DMG,
Tax ID#94-2508449 for your training:
DMG,
1855 Gateway Blvd., #760
Concord, CA 94520

First Name: (required)

Last Name: (required)

Title:

Company:

Address: (required)

City: (required)

State:

ZIP Code: Please enter a valid ZIP code (#####)

Telephone: (required)

Fax:

Email address: (required)

Please note: Webinar log-in information are sent via email. Please by sure to add dmg-at-work.com to your allowed domain names in your Spam blocker.

Part Two: Programs

I will attend both sessions (morning and afternoon), including lunch. $350.00 Value.

I will attend the morning session ONLY – Job Accommodations and the Interactive Process. $175.00 Value.

I will attend the afternoon ONLY – Conducting Effective Workplace Investigations. $175.00 Value.

Part Three: Meal Participation

I will bring my own lunch and will decline the lunch that is included with the registration fee

Part Four: Payment Options

Pay by Check

Pay with Credit Card You will be redirected to payment page

Please note: No refunds will be issued for cancellations made after the login information is provided.