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Corporate Wellness
Thank you for your interest in bringing breathwork to your workplace. Please let me know about your event or retreat. After you submit this form, I will be in touch with you with more details and availability.
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Your Full Name
*
Your answer
Your Email Address
*
Your answer
Your Phone Number
Your answer
Company Name
*
Your answer
Are you looking for 1 session or on-going support?
*
1 session
Multiple Sessions
Not sure yet
Event Date (1st choice)
*
MM
/
DD
/
YYYY
Event Date (2nd choice)
MM
/
DD
/
YYYY
Time of Event
Time
:
AM
PM
Format of event: Virtual, In-person, Social Media
Your answer
Location, if event is in-person
Your answer
Number of Participants
Your answer
Is there a budget?
Yes
No
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Additional Information you'd like to share.
Your answer
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