Inquiry Form

Booking Inquiry

First Name *

Last Name *

Email *

Phone *

Name of Organization *

Tell us about you, your organization, industry and/or association:

Describe the services you are looking for (i.e. keynote, workshop, retreat, team building, strategic planning, coaching, etc.): *

If this is an event, do you have a specific event date / location and, if so, what is the date and location? *

Describe your event please:

Who will be in attendance? How many attendees do you anticipate?

Please share any helpful website links such as your event/conference link, organization link, etc.:

What is your budgeted amount, or range, for the type of services you are inquiring?

What other information or comments can you share that would be helpful for us to know before contacting you?

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Once you submit your inquiry, we will respond to you within forty-eight (48) hours to schedule a telephone conversation to learn more about your key objectives and desired outcomes.

Inquiry Form

Booking Inquiry

Are you ready to shake up your leadership?

Are you ready to take YOUR next step?

Are You Ready to Shift?

Are you ready to Unmask & Unleash your leadership?

Transforming People & Organizations

2012 Keynote Speaker of the Year

Contact Info

Inquiry Form

Booking Inquiry

Are you ready to shake up your leadership?

Are you ready to take YOUR next step?

Are You Ready to Shift?

Are you ready to Unmask & Unleash your leadership?

Transforming People & Organizations

2012 Keynote Speaker of the Year

Connect with Jeff

Contact Info