Name
Title
Company
Address
City, State
Zip
Phone
Fax
E-mail

What type of communications consulting are you interested in?
Self help tapes
One-on-one sessions for myself as an individual
One-on-one sessions for myself and/or others within a company
On-site group training for a company
Other

Which of these are areas of interest?
Client/customer Relations
Management
Sales
Speeches
Meetings
Communicating Across Generations
Gender Communication Styles
One-on-One Communication
Other

What do you hope to achieve?
Project a more confident presence
Make effective contact with audience
Be more comfortable in front of a group
Develop stronger, more positive speaking patterns
Awareness of communications styles/skills and their impact

Which workshops would you like more information on?
Powerful Presentations
Communicating Across Generations
Leadership Training
Gender Communication
Professional Image Development

What is your occupation?

What is the nature of your industry?

How were you referred to this website?

Comments/Questions:

Thank you for your interest in Power Speaking Consultants.