Letter of Engagement for Speaking
Canada

 

Please complete the information below and click SUBMIT when finished.

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

Any questions, contact louise@wesbrook.org.


Address *
Address
Host contact name *
Host contact name
Phone
Phone
http://
ABOUT THE PROGRAM
$
Event date *
Event date
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) *
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 agreed to waive it . 

PAYING BY CHECK

Please make payable and send to:
Wesbrook Mediation Services, 200 Queens Ave, Suite 440
London, ON N6A 1J3

PAYING BY CREDIT CARD

Please call with your credit card number: 519.859.4057

PAYING BY E-TRANSFER

Please send via email to: louise@wesbrook.org

 Please contact us with any questions: louise@wesbrook.org or 519 859 4057

THANK YOU!