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Consultation and Training Interest Form
This is an interest form for organizations or individuals interested in booking Angela Banks and the associates at "The Clarity Couch" for customized consultation and training
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Company/Organization
*
Your answer
Company Address
*
Your answer
Email Address
*
Your answer
Company Website
Your answer
Relevant information about the company or organization
Your answer
Audience Demographics
Description of event (please include talking points and subject matter)
*
Your answer
Virtual or In-Person
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Virtual
In Person
Optional
Tentative Date and Time of Event
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Is the date and time flexible?
*
Your answer
Expected length of training or presentation?
*
Your answer
Number of Attendees
*
Your answer
Demographics of audience
*
Your answer
Is there a cost to attend the event?
*
Yes
No
What is your budget for this event?
*
Your answer
Are there other guest speakers for the event?
*
Your answer
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