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
Do we have your permission to post general info about your event such as host group name, city, and program title on our website, newsletters, and social media.
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!