Intimate Ascension, LLC Consultations
Thank you for your interest in bringing me to your organization. I am looking forward to seeing how we can best collaborate. Please fill out this form and I will get in touch with you shortly! 
Sign in to Google to save your progress. Learn more
What is the name of the company/organization? *
Will I be working with a specific department? If so, please specify below.
Who will be my main point of contact? Please list a full name and pronouns. *
What is the best email and phone number to reach the main point of contact? *
If there is a secondary point of contact, please list their name, email and phone number.
What type of consulting service are you currently interested in?  *
What is the goal or outcome you are seeking for this event? Please provide as much context as possible. *
What date(s) are you interested in booking? *
What time(s) are you suggesting for this event? *
Is the event intended to be virtual or in-person? *
How many individuals are you expecting to attend? *
Please provide details about the demographic that I will be engaging with (age range, role, identities, any other information you feel may be relevant). *
Please share your budget for this event. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy