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Client intake form
Program type
*
A
The Science of EI one day
B
3CL
C
The Science of EI half day
Logistics contact name
*
Logistics contact email address
*
Logistics contact phone number
*
Finance contact name (for invoicing)
*
Finance contact email address
*
Program date
*
Is this program virtual or in person?
*
A
Virtual
B
In person
*
Expected number of participants
*
Will this program include an EI60 assessment?
*
A
Yes
B
No
How many coaching sessions per participant?
*
Submit