CONTACT US

Please let us know how we may be of assistance by filling in all applicable information. Please use the remarks box for additional requests or questions.

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Name
Title
Organization
Address
City	State Zip
Phone	Fax
Cell Phone
E-mail
Requests & Remarks:
Consulting:
Workforce/Economic Development and Employment Issues Training's ROI (Return-on-Investment) Business/Education Collaboration (Career-Technical Education) Other
Presentations:
More & Better: Preventing a 2010 Workforce Meltdown Bridging the Great Divide Winning the Skill Wars Help Wanted in America Other
Type of Presentation Desired?
Keynote Workshop BreakFast Program Lunch Program Dinner Program	Conference Opener Conference Closer Executive Briefing Panel Discussion Retreat
Conference Title:
Conference Dates:
Conference Location:
Budget for Presentation:
Who referred you to us?
Potential Ed Gordon Book Signing Event? yes no
Potential Schedule of Complimentary 20-minute Private Consultations yes no

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Imperial Consulting Corporation
220 E. Walton Place, #8E
Chicago, IL 60611
Phone: 312-664-5196 Fax: 312-943-7360
Email: imperialcorp@juno.com