Group Corporate Workshop Request

Name*

Email*

Daytime Phone*

Mobile*

Company Name and industry / field

Is the workshop for women or men?*

Please note that we recommend doing women’s and men’s workshops separately.

Approx. number of participants*

Age Group*

Full Address / Suggested Location*

Street Address Suburb ZIP / Postal Code

Preferred dates (2 or 3 if possible)*

Any particular requests / the purpose of the workshop*

How did you hear about SoS?*