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Request a Speaking or Training Proposal

twomen.jpgWayne is totally committed to providing his clients excellent service, and to knowing and meeting your needs. Please fill out this form and submit online, and he will contact you with a specific proposal.

Company/Organization:

Contact Name:(first & last) Mr Mrs Ms

Phone Number:

Fax Number:

E-mail Address:

What is the meeting theme?

When the participants leave the program, what 3 ideas, skills or concepts should they have acquired as a result of the program?
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What are some challenges, currently or on the horizon, in your organization/industry? (i.e. mergers, downsizing)

Please list the names, phone numbers & e-mail addresses of 3 key individuals who should be consulted in tailoring a program.


Name 1:
Phone 1:
Email 1 :

Name 2:
Phone 2:
Email 2 :

Name 3:
Phone 3:
Email 3 :

To which professional associations does your organization belong?

What is your organization's web address?

What can Wayne do to best meet your organization's needs and objectives?


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