Workshop/Keynote Enquiry Form

Name & Surname

Organization

Position

Tel No (Cell & Landline)

Email address

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Date of event

Location of event

What type of event?
---Stand-alone workshopPart of team buildingOther corporate event

How long would you like the keynote/workshop for?
---45 – 60 minutes2 hrsHalf dayFull day

What is the expected size of the audience?

What is the main composition of the audience?
---Mainly Management / High-level staffMainly Low-level staffMainly Medium-level staffAll levels of staff

What is the particular AIM of your talk/workshop? (select as many as you’d like to include)
 Morale boosting Leadership Development Launch of new team/project Celebration of achievement Strategic Planning New Media & Trends
 Other - please specify below

Any other information that you would like to provide us with e.g. what slant would you like the keynote/workshop to take? Specific topics to be covered? (Please be as detailed as possible in order for us to provide you with the appropriate content)