Esteemable Acts   |   Staying Legal

F. Ward & Associates PO Box 1239, Mill Valley, CA 94942 Phone: 415-389-0975 Contact Francine This Pre-Program Questionnaire will enable Francine to fine-tune her presentation to the exact needs of your group. Feel free to skip over any answers which would merely duplicate answers to previous questions or which might be irrelevant due to the nature of this program. Your help will increase the value of this program to your audience! * Required fields * Client: * Email Address: * Phone number: * Hotel where I'll be staying: * How far is my hotel from the airport?: * Will I be picked up at the airport?: Yes No If so, by whom?: * Why did you select me as the speaker?: Conference Theme: * How far is my hotel from the event?: * Desired Outcomes / specific objectives: Are there sensitive issues to be avoided or specifically addressed?: * Format of my presentation: Panel Discussion Keynote Breakout Session/Workshop * How long am I to speak?: * Time of my presentation(s)?: * Will there be a coffee break?: Yes No * Number of attendees (estimated): * Group Demographics (race, gender, age, income level, or any other relevant info): * Will you duplicate my handouts for the program?: Yes No * Would you like to discuss purchasing a copy of Esteemable Acts or other items for each audience member?: Yes No * May I sell product?: (e.g., books, workbooks, CDs, tapes, etc.) Yes No If so, do you expect a percentage? How much?: Do you tape the program?: Yes No * May I tape the program?: Yes No * Do you cover expenses?: Yes No * How did you hear about me?: Do I make my own travel arrangements or do you?: Is my hotel put on your master account or will I be responsible for providing a credit card upon arrival to cover it?: Put on Master Account Own Responsibility   » Keynotes & Workshops » Partial Client List » Pre-Program Questionnaire » Francine's Schedule » Contact Francine about speaking at your next Event! » Francine's Speaker Packet Home  -  Meet Francine Ward  -  Her Keynote & Workshop Topics  -  Her Speaking Schedule  -  For Meeting Planners  -  Fearcovery Coaching/Consulting  -  Partial Client List  -  Press Page  -  Francine's Books, Workbooks, CDs, and Other Stuff  -  Ask Francine  -  Contact Francine  -  Sitemap  -  Watch Francine's Demo Video  -  Pre-Program Questionnaire  -  Francine's Speaker Packet  -  Francine's eBrochure  -  Francine's Photo Gallery  -  Francine's Coaching FEES  -  Francine's eCoaching

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