Workshop Request Form

Carol completes many workshops and presentations each year. For more information, please complete this form.

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 1007
Jenison, MI 49429-1007
Fax: 616.214.7935

Contact

Workshop Request Form