INFO & ORDER FORM

Visitor Info Form

THE LEARNING PROJECT
Web Site Visitor Information

Using the form below, please tell us about your organization, your current diversity program and the goals you have for your company or community. This will give us a starting point to develop a proposal for the most effective training for you.

We will then contact you, as you direct below, with time and cost estimates.

All of your information is held in strict confidence. No names and/or information is sold or distributed in any way.

For book orders, please go to our special Book Order Form. Thanks.

If you would rather speak to us directly call
THE LEARNING PROJECT: (816) 765-9685

--- INFORMATION FORM ---.

Contact Information Form: ( *Indicates a required field.)
First Name*	Last Name*

Company*

Title

Postal Address and Phone:

Street Address 1*

Street Address 2

City*

State*

Country

Zip Code*

Telephone-Business*

Telephone-Home

Telephone-Fax

Internet Addresses:

Email Address*

Confirm Email Address (please enter same address)*

URL (WWW Home Page -- if you now have a Web Site)

Future Contact:

How do you prefer to be contacted for additional information?*
Email Phone Fax Postal Mail

Info About Your Organization:

What is the type of your organization?
City or Town
Business
Church or other religious organization
Other group or organization

Additional information about your organization & goals:

After filling in your
information above you can
print this document and mail to:
The Learning Project ®
2615 Martha Truman Road
Kansas City, Missouri USA 64137
(816) 765-9685
OR
You can Send this form now.

Send Form

Clear Form

Go to:

Book Cover

Book Introduction

Comments about this book

For more information or a humorous
and encouraging word, contact:
The Learning Project ®
2615 Martha Truman Road
Kansas City, Missouri USA 64137
(816) 765-9685
Or E-mail Maggie Now: Maggie@thelearningproject.com

Site Index