Life and Spirit Solutions Form

Name*

First Last

Email*

Phone*

Name of Company & Position

Best Date & Time for a Call Back*

Priority for Call Back

What is the service being requested (check all that apply)

Please share the other service you might need

What is the required timeframe for the service? (check all that apply)

Other Timeframe for service

What is the geographic area for the service? (i.e. Toronto, Canada)

Do you require a consultant with French language?

What is your current budget?*

Is there anything else you would like to share before our call?

Whom may I thank for your referral? If not a referral, how did you hear about me?

I am interested in keeping in touch and receiving strategies from Sue Vandittelli and AWR Inc.

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