Imagine Learning Customer Success               Event Request
Please fill this out when requesting onsite training from Melisa Hankins, your Customer Success Manager with Imagine Learning.
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Email *
Type of Event Requested *
Date of Event *
MM
/
DD
/
YYYY
Time of Event *
Time
:
Complete Address of Event *
Total Time needed ( please note if more than one session is needed)  What time will we start? *
Name of Location where Event will be held *
Room Number of Event *
Number of Attendees (Who are they?) *
Contact Person *
Cell phone number of contact person *
Additional Details, Notes, Comments
A copy of your responses will be emailed to the address you provided.
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