| For Meeting Planners... 
   Thanks for your interest in our products and services! Please use the form below to contact us.    Name                                                           Title                                    Company                         Address                                                                                                                                          City                                State or Province                               Zip or Country Code                       Country                          Phone No.                                        Fax No.                                           Email Address                                                                                                                                Best Time of day to call is                                                                                                                   To obtain information on booking Elvis Newman to speak at your next conference or convention, please complete the following   
       Reason for Conference or Meeting 
       The Date & Time of the Event                       
       Estimated No. of Attendees 
       Location of event 
       How did you hear about Elvis Newman ?                         We are interested in booking Elvis Newman to present a   Keynote / Short program / Half day / Break out session / Full day- lecture only / One day work shop / Hell night program / Others ___________________   Please briefly describe your expectations for this event ________________________________________________            Are there any taboo topics the presenter should be aware of ?                                                                                                                             Comments                                                                                                                              If you need to speak with Sales or Support   
| Mailing and Telephone |  
| Elvis Newman Communications Suite 222, 24 Dixwell Ave.
 New Haven, CT 06511  (10-6  Mon-Fri EST)
 | Telephone:(646) 886-3535
 Fax:
 (646)539-9269 (203)772-1396         |  |