Today's Date:  
Name of Company:
Name of Presenter:

CONTACT INFORMATION

Name:
Email Address:   Phone Number:
Street Address:   City, State, Zip:

Proposed class title:

Brief description of proposed class:
NO MORE THAN 3 OR 4 SENTENCES


List store products mentioned and/or prompted in class content:
Item 1:   Item 2:
Item 3:   Item 4:
Item 5:   Item 6:
Item 7:   Item 8:
Item 9:   Item 10:

Proposed Store Location(s):
Albuquerque:   Denver:   Fort Collins:
Phoenix-Bell Road:    Scottsdale:   Tempe:
Tucson-Broadway:   Tucson-Speedway:
Las Vegas:   Boulder:   Murray:

Three proposed dates for class (date flexibility preferred):
EVENING CLASSES PREFERRED
Date 1:   Date 2:   Date 3:

Brief Biography of Presenter (background information pertaining to class)
LIST CREDENTIALS AND/OR EXPERIENCE- NO MORE THAN 4 OR 5 SENTENCES

Have you given this class in the past?
If so, where, and what was the turnout?:

Do you provide literature and/or samples to
participants?  If so, please briefly describe:

Additional proposed class topics for upcoming months:

Additional Requests:

All class proposals must be submitted by the 10th of every month for consideration

Contact number:  602-218-4944 ext. 113