Elena Dk Blue Sponsor Form

Please complete the form below and we will contact you shortly with detailed information about sponsoring Elena's seminars/workshops.

Name/Contact Person	*
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I am interested in sponsoring the following seminars/workshops: (Click all that apply)		Dating in 2010 Thoughts and Questions about Life and Love (1 & 2 - Women Only!) About Long Distance Relationships (Women Only!) Quotes and Questions about Love (Women Only!) Quotes and Questions about Marriage (Women Only!) Loser Alert! Is “He” the one for you? (Women Only!) User alert! Is She the one for you? (Men Only!) Who says love can’t last forever? (For Women Only!) Before you move in with him. (For Women Only!) The Fine Art of Romance (For Men only!) RILP (Releasing Ineffective Love Patterns) Other
Three Dates (In order of preference)	*
Time Preferences	*
Will there be PowerPoint, Whiteboard, etc., availability?	*
Sponsor has insurance coverage	*	Yes No
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