Request for Customized Class
Contact Name:______________________________________________________________________________

Organization:________________________________________________________________________________

Address:___________________________________________________________________________________

City, State:_____________________________________________________________ZIP: _________________

Phone:___________________ Fax:____________________E-mail: ____________________________________

Dates Requested:

    1st Choice ________________________

    2nd Choice________________________

    3rd Choice________________________
Number of Attendees _________

Indicate all Course Options:

    _____ Full 1.5 Day Meeting Planning Boot Camp

    Pre-Workshop:
    _____ Boot Camp Basic Training (2 hrs)

    Post-Workshops: (1-2 hrs each)
    _____ Etiquette and the Business World
    _____ How to Write an Emergency Plan
    _____ Time Management/Organizational Skills

Print and mail or fax to:
Course Coordinator: MP Boot Camp
PMB 516
3370 N. Hayden Rd., #123
Scottsdale, AZ 85251
(480) 874-1851 • fax (480) 874-2548
CClifton@mpbootcamp.com

Once our office receives this form, a proposal will be sent outlining dates, cost, payment terms and cancellation policies.
A deposit of 50% of the course fee is due at signing. The balance is due the first day of the course.