|| plan {A} holistic life™ || Corporate Meditation Session Booking Form for Alicia Mathlin
> Please complete all questions to the best of your ability.
> Your privacy means a great deal to me. All information gathered from this form is confidential.
Organization/Company/Department Name: *
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Primary Contact Name: *
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Primary Contact Telephone Number: *
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Primary Contact Email Address: *
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Location:
street number, street, city, province, postal code
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Proposed date of session: *
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Proposed time of session: *
Time
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How many participants? {10 person min. | 20 person max.} *
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Please select a theme for your group's session with me: *
Tell me a bit about your company/organization: *
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What does your company/department hope to achieve from your session(s)? *
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Are you interested in multiple sessions for your group? *
What method of payment will you be using? {instructions will be sent to you accordingly} *
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