LIVE2LEAD REGISTRATION FORM

Lead to Influence, the Live2Lead Organizer, proudly presents the John Maxwell Live2Lead Leadership Conference for 2026.
DATE: October 30th & 31st

TIME: 9:00AM to 4:30PM

REGISTRATION: 8:00Am - 9:00Am

CONTACT: +592 621-0440 | [email protected]

Full Name

Email *

Phone *

Company *

Position *

1. Dietary Restrictions *

Vegetarian

Non-Vegetarian

Gluten-Free

Other (please specify)

2. How did you hear about our conference? *

Google Ad

Social Media: Facebook, Instagram, LinkedIn

Sophia Dolphin Radio Program

Word of Mouth / Personal Referral

WhatsApp Groups: GCCI, GMSA, L2L Region Groups

Lead to Influence Representative

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Other (please specify)

3. Select your registration option if you agree to make payment at least 5 days before the event to guarantee a seat. Either via MMG # 621-0440 - Lead to Influence or to Demerara Bank Account- Lead to Influence # 4025532 (This is a one day event, you have a choice to register for Oct 30 or Oct 31). *

Regular Registration – GYD $30,587 per person (price of ticket per day)

Group Registration (5 or more persons) – GYD $25,000 per person

VIP Ticket – GYD $35,987 per person (Includes 1-day event ticket and virtual group mentoring)

Other (please specify)

4. Which day would you attend? *

Oct 30

Oct 31

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5. Stay Connected & Get Mentored? Would you like to join our exclusive WhatsApp group? Receive weekly leadership tips, ask questions, and get personalized mentoring from our experts. (Opt-in only – your privacy is protected.) *

Yes, add me to the WhatsApp group! (Please provide your WhatsApp number in "other" if different from the number above)

Already in

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Other (please specify)

Thank you!

Can't wait to see you!

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