Webinar Request Form

Carol completes many webinars each year. Webinar ponsors work with Carol directly from their initial request to the last moments of their webinar. For more information, please complete this form in its entirety and submit it between September 1 and May 31 of the following year. Incomplete forms, and requests submitted during the northern hemisphere summer months (June 1 – August 31) will not receive a response. Please use NA if rthe equested information on the form is not applicable to your requrest.

Important Note: Completing and sending this form initiates discussion regarding a possible presentation. It does not confirm details or reserve a presentation date.

Today's Date (required)*
MM slash DD slash YYYY
Contact Person's Name and Position (required)*
Email Address (required)*
Phone (required)*
Name of Your Organization
Website
Your Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Desired Dates for Presentation or Workshop
Desired Topics for Presentation or Workshop
Nearest Airport to Anticipated Presentation Venue

You may also contact Carol directly:

Carol Gray
P.O. Box 411, Douglas, Michigan 49406

Contact

Webinar Request Form