Letter of Engagement for Speaking

 

Please complete the information below and click SUBMIT when finished.

We will add our signature and email a copy to you. 

Any questions, contact info@highconflictinstitute.com.


Address *
Address
Host contact person *
Host contact person
Phone
Phone
http://
ABOUT THE PROGRAM
$
Event date *
Event date
Event start time *
Event start time
Event end time
Event end time
Event location
Event location
MATERIALS
HCI will email PDF materials to host by: *
HCI will email PDF materials to host by:
(Host will reproduce materials for event participants or provide them in accordance with organization preferences).
AUDIO/VISUAL
Host will provide: *
RECORDING
(If the answer is no, please provide information below. Some organizations provide the training via webcast or other recording, but please discuss your needs with us first - thank you).
Training focus is: *
Attendees are mostly (check all that apply) *
If yes, please provide name and shipping address for book shipment
If yes, please provide name and shipping address for book shipment
CANCELLATION
Cancellation by Host:  Cancellation fees are based on full amount of out-of-pocket (airfare, etc.) expenses incurred by HCI. Cancellation by HCI:  A qualified substitute trainer will be provided unless Host prefers to change the date.
SIGNATURE
Date *
Date

Your event will be confirmed when your deposit is received, unless we've agreed to waive it (for organizations who cannot pay until after the event such as universities). 

If you are paying by check, please send to: 7701 E Indian School Rd, Ste. F, Scottsdale, AZ 85251.

If you are paying by credit card, we will send a link to the email address you provided above. You can pay securely with your credit card.


Thank you!