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Conscious Dynamics™
Requesting an Event

Arranging a Program for a Group or Organization

First step - Please complete this form keeping in mind that the likelihood of successful scheduling increases with the number of dates you can consider for your event.

When the preliminary process is completed and arrangements agreed upon, we will request a hardcopy summary statement on the letterhead of your organization to formalize the plan. This serves as our contract and provides us with necessary contact information. No engagement is final until Mary has responded to the hardcopy request.

Name:  

Title:     

Email:   


Sponsoring group or institution (contact information)


Event and event dates (include optional dates)

Where will the event take place? What city, state, or country? In a corporate environment, a hotel, a church, a school, an auditorium, a retreat center, a home? Please describe.

Describe the expected audience

What is your primary purpose or theme?

Why you specifically want Mary as a teacher.

Details on honorarium.
(Please offer something which is both just and comparable. Include economy airfare, room and board in a private setting, safe local transportation.)