1 Personal Details 2 Service Needed 3 Service Details Name* First Last Company Name*Division/Department*Position*Mobile Number*Office LandlineEmail Address* Do you need MSS Business Solutions as an*In-house corporate trainer?Professional speaker?Consultant?Team Building Facilitator? What employee training are you requesting? Are you confident training is the solution or not?Who are the target participants?When is your target date for the training How many employees will be enrolled into the training?What areas for improvement does the training intend to improve, correct, add, or replace? Is it an area for improvement on knowledge, skills, attitude, environment, motivational or inspirational level, or job-person/organization-person fit? Are you looking for a default program or a customized one? How much is your working budget for this training need?Are you looking for a motivational speaker inspirational speaker topic resource speaker check all that appliesHow many minutes or hours do you need us to speak for?What is the overall goal of your event? What is the event all about? What topic is are we going to speak about? Who are the intended audience? How many people are expected to be in the audience?When is the target date of your event?Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920How much is your working budget for this speaking need?What is the nature of the consulting/advisory work? What individual, work, departmental/divisional, or organizational-level aspect or need do you need a consultant for? What particular help do you need from Myron? When is the target date for your team building?Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920How many employees of yours will be involved?Who are the target participants of the team building?What is/are the target values/learnings/wisdom of this team building? Does the team building aim to overcome a business challenge or solve an ongoing or recurring problem? What is this? How many days will the program be?How much is your working budget for this event?Other notes