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Your Contact Information
Contact First Name: Contact Last Name: Company: Title: Address: City: State: Zip: Phone: Fax: E-Mail: Web Address:
About Your Project and Expert Needs
Trainers and/or consultants you are interested in receiving more information about:
Information Kit Video Sample - VHS (if available) Audio Cassette Sample (if available)
Theme of project/training/seminar:
Budget for project/training/seminar: $2.5k - 5.0k $5.0k - 10.0k $10.0k - 15.0k $15.0k - 20.0k $20.0k - 25.0k $25.0k - 35.0k $35.0k - 50.0k $50.0k - 100.0k $100.0k +
When is your project, training, seminar scheduled to begin. What is the time frame?
Who is your audience?
What is the approximate size of your audience? Under 150 150-500 500-1,500 1,500-3,000 3,000-6,000 6,000-10,000 10,000- 15,000 15,000- 25,000 25,000+
City & site of project/training/seminar:
Additional comments / more information about your training needs:
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