Forman Consulting | Presentation Inquiry |

Forman Consulting provides invaluable information to help professionals in private companies and colleges prevent and identify gambling problems and related behavioral disorders, such as alcohol and other-drug dependence. For a presentation or private consultation, please fill out the form below. All inquiries are 100% confidential (you cannot and will not be solicited by a third party for contacting Forman Consulting.)

Fields marked with an (*) are required.

*Contact Name:
Title:
*Organization:
Address 1:
Address 2:
City:
State/Province:
Zip/Postal Code:
Country:
*E-mail:
*Phone:
Web Site (URL):
Who is the intended audience? (For multiple selections, CTRL + click)
Number of attending people:
Your goal in regard to this training:
Training Duration:
Dates/Times that are ideal for you:	(1st choice)
Dates/Times that are ideal for you:	(2nd choice)
Dates/Times that are ideal for you:	(3rd choice)
Available equipment(s):	Television Video Cassette Recorder Overhead Projector Paper/Easel Chalk/Marker Board
How did you hear about us?
Additional Notes/Requests: