Speaking Services Information Request Form - LJL Seminars (tm)

Public Seminar Request Form

Please fill out the form below to help us better understand your public seminar needs.

I would be interested in attending one of Lenny's public seminars:

First name:
Last name:
Title:
Company Name:
Company Website Address:
Street Address:
City:
State:
Zip Code:
Country (if outside USA):
Telephone Number:
Extension:
E-mail address:
I would be interested in attending a public seminar if the seminar was located in? (city, state)
How much would you be willing to pay for a one day seminar? (lecture format - limited hands on)
How much would you be willing to pay for a two day seminar? ("hands on", videotape feedback)
How much would you be willing to pay for a three day "team presentation skills" seminar?
I would be willing to find five other participants for a public seminar - and in exchange for my efforts I would attend the seminar absolutely free!
When would you like the seminar to be held?

Please feel free to provide me with additional information about your specific speaking needs.