Inquiry Submissions for Coaching, Speaking and Teaching

Coast to Coast CoachingPlease fill in all information so that we can contact you to schedule your event or coaching request. Upon receipt of your submission we will forward you pricing that fits your request. We look forward to assisting you in planning your event. As a reminder, Daniel Evans and Chris Thompson are certified coaches and speakers in leadership with the John C. Maxwell Team.

Note: We will consider the individual information submitted in this form to be the main contact. Pricing, other information, and any further communication will be with this person, unless we are notified to do differently and given the contact information for the correct person.

First Name:*   
Middle Name:   
Last Name:*   
Address:*   
City:*   
State:*   
Zip:*   
Email:*   
Confirm Email:*   
Is this request for personal leadership and development coaching?*    Yes     No    
Is this request for ministry leadership coaching?*    Yes     No    
Is this request for business leadership coaching?*    Yes     No    
Is this request for a teaching or speaking event?*    Yes     No    
How many people will attend the teaching or speaking event?*   
Is this approximate?*    Yes     No    
If this is a teaching or speaking event, will there be a workshop?*    Yes     No    
How many people will attend the workshop?*   
Is this approximate?*    Yes     No    
What is the name of the business or organization?*   
Is this a business or organization?    Business     Organization    
If it is an organization, is it a non-profit organization?*    Yes     No    
Non-Profit Status:   
What are the dates and times for this event?
From:*   
To:*   
Time:*   
Please include any comments in detail for dates, times, additional contact, etc.*