Workshop Request Form

Workshop Request Form

(t) 562.922.8635 | (f) 562.803.8230
Main Office/Distribution Center

9525 Imperial Hwy, Rm 209, Downey, CA 90242
Mailing Address

P.O. Box 2170, Downey, CA 90242
Date

MonthDayYear
Contact Name

First NameLast Name
Name of School, Agency or Organization
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Fax

Area CodePhone Number
E-mail
Please check if you are an individual interested in attending a workshop
*If you are an individual interested in attending a Dress To Impress workshop, you can stop filling out the form here and scoll to the bottom and hit 'submit'. We will contact you regarding when a workshop will be available in your area.
Workshop Information
Date and Start Time of Workshop

MonthDayYearHourMinutesAM/PM Option
Number of Men
Number of Women
Desired length of workshop
Comments/Concerns/Misc. Notes
How did you hear about us?
If other, please explain
Should be Empty: