Quote Request
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Contact Full Name
*
First Name
Last Name
Email Address
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example@example.com
What is your preferred method of delivery?
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Virtual
In person (greater Victoria area only)
Not sure yet
Location
Street Address
Street Address Line 2
City
State / Province
Postal Code
Does your space have a screen or projector for digital presentations?
Yes
No
Organization or Group Name (if applicable)
Leave blank if not applicable
Type of Group
Non-Profit/Community Agency
School/Youth Group
Corporate/Business
Other
Service(s) of Interest
*
Course, 9 hours (6 sessions, 1.5 hours each)
Course, 12 hours (6 sessions, 2 hours each)
Live Talk, 1 hour
Other
Genre(s) of Interest
*
Journaling
Memoir
Short Story
Speculative Fiction (sci-fi, fantasy, horror)
Screenwriting
No preference/open to what participants want
Estimated Number of Participants
*
Range or exact number
Will you need the instructor to provide writing materials (notebooks and pens)?
*
Yes
No
Potential start date, if known
/
Month
/
Day
Year
Potential days & times:
Rows
Available
Time(s)
Monday
Tuesday
Wednesday
Thursday
Friday
Additional info and/or questions:
Includes accessibility needs and other special requests
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