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Seminar Request Form
Seminars
Seminar Request Form
Date
Start Time
End Time
Is there a trainer from our team who you would prefer to lead your seminar?
Location Name
Address 1
*
Address 2
City
*
State
*
Zip
*
Event Coordinator
*
Email
*
Phone
*
Does location have a screen projector or TV for seminar presentation?
Yes
No
Will a volunteer be available to assist in running presentation during seminar?
Yes
No
Is this a private seminar, or is it open to the public? (We will advertise this event if it is open to the public)
Private Seminar
Open to Public
Will guests register for this seminar on your website, or do you need us to create a registration page?
Guest will register on my website and I will provide the link
I would like Impact to create a registration page for my event
How much would you like your tickets to cost? (Typically ranges from $10-$40)
*
Do you plan to provide lunch for your participants?
Yes
No
If yes, is lunch included in their ticket cost?
Yes
No
Any questions, concerns, or comments?
Request to Book a Seminar
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