Your full legal name :                                                    

The name you prefer to be called:               

Date(s) you wish to request for support:       

A brief description of the type of assistance or training you will be requesting, including
dates and the type and amount of requested support.

(Note: This is for reservation purposes only – no financial transactions will be requested 
or made with this e-mail)  

Consultation (2 hours)

1 day (5 hours) of training or personal assistance

2 consecutive days (5 hours per day for a total of 10 hours) of training / assistance

3 consecutive days (5 hours a day for a total of 15 hours) of training / assistance

4 consecutive days (5 hours a day for a total of 20 hours) of training / assistance

5 consecutive days (5 hours a day for a total of 25 hours) of training / assistance

English Language Training (1 week for a total of 3 hours)

English Tutoring (5 hours)

Retainer for new International Training Services (ITS) client

Retainer for existing International Training Services (ITS) client

Other special request (specify proposed hours and fees in your text)

Your e-mail address:                                    

Your phone numbers:                      tel:        
                                                    
                                                        cel:                        

(Optional) Attach a photo of yourself 
 to your e-mail:                                       

(Optional) Attach a photo of an identity 
 document that you will be carrying with  
you while you are traveling: