Resiliency Speaks, LLC Professional and Corporate Services Request Form
Please complete this form in it's entirety to give Resiliency Speaks, LLC a better understanding of your needs. Please call us at 404-254-6696 or email us at
if you have questions or concerns. We look forward to partnering with you.
First and Last Name:
Type of Request
Organization (if applicable)
Please tell us about your organization (i.e. industry, mission, vision, populations served)
Date of Event (if applicable)
Time of Event (if applicable)
Estimated Number of People Attending the Event (if applicable)
Will audio and visual equipment be provided (if applicable)?
Please tell us more about your request and professional or corporate needs.
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