Seminar Request Form
Sign in to Google to save your progress. Learn more
Full Name *
Email *
Phone *
Name of your Organization
How many seminars would you like prepared?
How long would you like each seminar to be?
Fees: *
Would you like your organization to be charged $200.00 per presentation hour or would you like each participant to be charged a set fee?
Seminar Topics: *
Which topic(s) would you like each seminar to address? Please be as specific and detailed about your seminar topic expectations as the seminar(s) would be customized to meet your needs.
Who would be the target audience? *
Would these seminars be opened to the public? *
Would you like for us to submit press releases to the local media? *
Which dates and times would you like the seminar(s) to be presented? *
Any additional Information:
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.