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Section for Industry and Executive Support

The Center
Request for Proposal

Please take a moment to fill out the questions below. This will help us to understand your needs and objectives. You can also contact Robin Wagner. A representative from The Center will contact you shortly to further discuss the details of your program.

Your information is important to us. All information provided below is considered confidential and is protected. We will not sell or share your personal information with an outside source or third party.

  Client Information
  * (Required items)




Daytime Phone*
Fax
E-Mail Address*
Organization Web Site

 

  Event Information
  * (Required items)


Select all that apply

Will the program be repeated?*
Select an answer

 

  Guest Room Accommodations
  * (Required items)
Will you need guest room accommodations?*
Select an answer

If yes, please enter the approximate number of guest rooms needed:
Please provide any additional comments that would help us understand the needs of your organization for the training.*

State law requires that you be informed of the following:
  • You are entitled to request to be informed about the information about yourself collected by use of this form (with a few exceptions as provided by law);
  • You are entitled to receive and review that information; and
  • You are entitled to have the information corrected at no charge to you.
 
Last revision: August 14, 2006Print Friendly
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