in person facilitation

Please use this form to schedule a FACTUALITY the Game facilitation:

* Indicates required field

Name *

Email *

Corporation/Organization/Institution Name *

Facilitation Date *

Facilitation Time *

Facilitation Location (Address) *

Facilitation Location (Room Number/Name etc.) *

Anticipated # of Participants *

Would you like for FACTUALITY to prepare and send a contract or do you have a preferred internal method? *

Please prepare and send contract I will prepare and send contract

Please select preferred form of payment *

Check ACH Credit Card (payments will incur a 3% fee)

Comments/Notes *

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