Meeting Planner Inquiry Form

Booking Inquiry

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Please copy and paste the following questions into an email text and complete, then send to kim@drdeclutter.com or, call 303.485.5280 with the information. Our office will get back to you to discuss your inquiry further as necessary, by phone or email.

 

1. Your name:

2. Your title/position:

3. Phone #:

4. Email:

5. Company or Group name:

6. Date of event:

7. Location of event:

8. Event (conference / expo / in-service / convention / retreat, etc):

9. What presentation/topic you would like from Kim, or, what is your group focus for this event/program?

10. Length of program you want from Kim (Keynote 30-50 min; seminar 60 min; one or multiple workshops 1-3 hrs each; retreat - full or more than one day, or explain):

11. Are there multiple opportunities for which you want to consider Kim? (Kim speaks on several topics and can offer you several seminars, keynotes and/or workshops in the same event.) Please note what kind of events these include:

12. Speaker budget for this event:

13. How many will attend Kim’s presentation?

14. How many will attend event?

15. How will this event be advertised?

16. Do you need CEU’s for this program? Which field? Nurses, Teachers, Therapists, Counselors or name other(s):

17. Website/URL for this group/event/company:

Thank you for your time. You will receive confirmation of this request and feedback soon.

  • You're not here for a long time;

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    Kim brings you content-rich presentations, inspiration with immediate application and lots of humor for the best of all education and training.

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