Speaking Services Information Request Form - LJL Seminars (tm)
Presentation Skills Seminars


Public Seminar Request Form



Please fill out the form below to help us better understand your public seminar needs.

I would be interested in attending one of Lenny's public seminars:

* = Required fields to fill in. The form will give you an error if you fail to fill in these fields"

* First name:
* Last name:
Title:
* Company Name:
Company Website Address:
* Street Address:
* City:
* State:
Zip Code:
* Country (if outside USA):
* Telephone Number:
Extension:
* E-mail address:
* I would be interested in attending a public seminar if the seminar was located in? (city, state)
* How much would you be willing to pay for a one day seminar? (lecture format - limited hands on)
* How much would you be willing to pay for a two day seminar? ("hands on", videotape feedback)
* How much would you be willing to pay for a three day "team presentation skills" seminar?
I would be willing to find five other participants for a public seminar - and in exchange for my efforts I would attend the seminar absolutely free!
When would you like the seminar to be held?

Please feel free to provide me with additional information about your specific speaking needs.



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