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THE MASTERY COMPANY  
PO Box 1806  
Woodinville, WA 98072  

info@masterycompany.com  





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General Registration for the Board Assessment

This is the general registration form for THE MASTERY COMPANY Board Assessment tool.

If you have any questions, please feel free to e-mail us at MASTERY Information or call (425) 806-8830.


Name of Organization/Company
Company Web Site / URL *
Corporate Headquarters Address *
Country
This is our FIRST use of the onPARC Board Survey:
Yes   
No, we have used the survey before   
If used before, please enter date of last use:
Name of Director Accountable for Subscribing to Survey *
Main Phone Number *
Fax Number
E-mail Address
Contact Person (If Different)
Phone Number
E-mail Address
Number of Directors Taking the Survey:
Does the CEO* sit on the Board?
Yes   
No   
Do you want the CEO's reponses highlighted in the report?
Yes   
No   
Is the Enterprise:
Profit   
Non-Profit   
Is the Company:
Privately Held   
Publicly Traded   
NA   
*NOTE: If the position titled CEO does not exist in your enterprise, please substitute the comparable titled position. We are asking for and about your top senior executive.

COPYRIGHT NOTICE: This survey may be downloaded for viewing purposes, but may not be used without the prior consent of THE MASTERY COMPANY. Consent may be obtained by registration or by hiring onPARC to conduct the survey. Use of this questionnaire without prior consent is in violation of the Federal Copyright Law [17 USC 101 et seq]. Violators may be subject to criminal penalties as well as liability for substantial monetary damages, including statutory damages of up to $100,000 per infringement, costs and attorney's fees.

Copyright 2005-20010, THE MASTERY COMPANY. All Rights Reserved.

Agreement to Conditions: *
Yes, I Agree.   
No.   

Subscription Fee for first time use of the Board Assessment is $4,200 (US). For repeat users, the subscription fee is $3,000 (US).

Credit Card Information
Credit Card Number (No Spaces) *
Expiration Date (01/02)

* Required to submit this form





 


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