Webinar Request Form

Carol completes many webinars each year. Webinar sponsors work with Carol directly from their initial request to the last moments of the presentation. For more information, please complete this form in its entirety. Incomplete forms may not receive a response. Please use NA if requested information 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
Email
This field is for validation purposes and should be left unchanged.

You may also contact Carol at:

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

Contact

Webinar Request Form