Booking/Consultation Details:
Top Motivational Speaker Ronald Burgess Jr. Services provided: Coaching, Speaker, Video Collaboration
Full Name
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First Name
Last Name
Organization/Institution/Self Address
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Street Address
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E-mail
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example@example.com
How did you hear about RBM?
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(I.e “Google”)
What type of audience does your organization/institution have (e.g Addictions Recovery, Inmates, at-risk youth, Sales etc?):
(I.e “We have young adolescents who are inmates who we’d like to go through an intense/hands on workshop)
What’s your organization/institutions or your budget?
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$200-$500
$500-800
$800-$1100
Other
Where’s your organization/institution or yourself looking for improvement?:
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(I.e “The inmates need to understand their past doesn’t define them and there’s people that care. So many of our inmates lose hope in the system.”)
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Please give 2 tentative dates/times/locations :
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Date
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2
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