Empowerment Speaks
 A customized engagement experience guaranteed to leave you with invaluable take a ways and clarity on practical action steps!  Select Your Desired Experience(s). We look forward to touching base to ensure you and/or your Organization has an unforgettable, enriching one!
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Full Name *
First and Last Name
Email Address *
Phone Number *
Below in Services Desired, Share Your Vision & Make Your Plan!
Please specify whether you desire an Informal (Interactive Conversation) or Formal (Engaging Lecture Style) Experience should you select Empowerment Speaks and/or Preparation Shops Services
Overall Experience Hoped for *
Preferred Delivery of Experience
Length of Time (90 minutes maximum) *
Service(s) Desired *
Required
Preferred Date for Service(s) requested *
Please schedule 30 days prior to your event. If your event is less than 30 days out, call us and we will see what we can do
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Preferred Time for Service(s) requested (EST) *
i.e. 11:00 am
Time
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