SENSATIONAL SPEAKERS EVENT QUESTIONNAIRE FORM-FAX TO 1-614-865-0052

Name of Client _____________________________________________________

Person to Contact & Postion _________________________________________

Location ___________________________________________________________

Speaker/Trainer/Topic Desired________________________________________

Date of Presentation _____________________________

Number of People Expected to Attend ___________________

What is the purpose of this meeting? Is there a theme? ___________________

________________________________________________________________

________________________________________________________________

Business Address ________________________________________________

________________________________________________________________

E-Mail address of group contact person ______________________________

Phone of group contact person______________________________________

Fax of group contact person________________________________________

Best time to reach the group contact person ____________________________

FAX TO 1-614-865-0052 and we will contact you within 24 hours.

"Let Sensational Speakers deliver your message."

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