Thank you for visiting the Results Coach™ web site. To receive a FREE PRESS KIT, please complete the meeting questionnaire below.

Your press kit will include videotape with highlights from a recent Dale Berry Results presentation. In appreciation for your time and interest to complete this form, Dale will also include a FREE RESULTS POSTER with your press kit.


Your Name
Title
Company/
Organization

Type of business or organization (check all that apply)
  Healthcare
  Sales
  Engineering
  Marketing
  Education
  Shipping
  Non Profit
  Customer Service
  Public Relations
  Government
  Manufacturing
  Other

Address
City
State, Zip
Phone
Fax
E-mail Address

      I am interested in a customized keynote presentation
      I am interested in a customized workshop
Meeting Date(s)
Meeting Location
Number of Attendees
Name or Theme of Meeting
Type of Meeting Company Meeting
Association Meeting
Convention

Please be assured the information you are providing is considered personal and confidential. Dale Berry Presents, its agents and employees agree not to sell, trade or provide this information to any third party. We agree that this information is for the sole use of Dale Berry Presents for the purpose of sending you information on our services and products.

Thank you for your time and interest in Results Coach™.


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