Workshop Booking and Contracting Form-Domestic (US) Partner (Private Group) [SELF-STUDY]

Today's Date

YYYY

Workshop Partner Name(Required)

First Last

Workshop Partner Organizaton(Required)

Workshop Partner Organizaton Address(Required)

Street, City, State

Workshop Partner email(Required)

Point of Contact POC (Point of Contact) during the training

Point of Contact (POC) cell

Confirm the format for this training is on-demand(Required)

I confirm that this training is self-study/on-demand

Which self-study/on-demand courses will your group be enrolled in?(Required)

review self-study course collection: https://talktools.com/collections/opt-self-study-on-demand

Start Date(Required)

End Date(Required)

Workshop Partner has read the course description and timed agenda for this workshop(Required)

See Self-Study courses: https://talktools.com/collections/opt-self-study-on-demand

I have the course description and timed agenda for this workshop

Estimated Number of Participants(Required)

Private Group Base Fee(Required)

covers instructor commissions + overhead costs (per person)

$2000

Participant List

upload the current attendance list in an Excel sheet. Include First Name, Last Name, email address, cell, full mailing address

Accepted file types: xls, xlsx, csv, Max. file size: 128 MB.

Practicum/Hands-On Learning Supplies(Required)

Hands-on learning supplies (Practicum) is listed on the course page. TalkTools will individual ship supply kits to each participant

I have reviewed the practicum list

I agree to share shipping costs

TalkTools and Workshop Partner will share shipping costs for practicum (50/50 split)

$3 (per person)

Estimated Shipping Costs

Is TalkTools managing CEUs for this event on behalf of the Workshop Partner?

Yes

I agree to the CEU filing fee

$5 (per person)

Estimated CEU Filing Costs

Estimated Total Training Costs