M2 Consulting Group

Michael G. Martin, PMP
President

M2 Consulting Group, Ltd.
2362 Crimson King Drive
Suite 100
Braselton, Georgia 30517
Phone: (404) 941-0671
E-mail: mgm@m2consultinggroup.com
URL: www.m2consultinggroup.com

	You must have JavaScript turned on to submit this form. Note: Required fields are marked with an asterisk () General Company / Organization Information Company / Organization Legal Name: Doing Business-As (DBA) Name (if different from above): Primary Point of Contact Name:* Mailing Address: Office Phone:* Cell Phone: Fax: E-mail:* Website: What are some recent achievements or successes realized by the organization? What are some of the problems or challenges currently being faced by the organization? Are there any significant events that the organization or the industry may befacing, which Mike should be aware of? Presentation / Training Specifics and Objectives Theme of the event or training program: Purpose of the event or training program:* Title of the presentation: Primary objective(s) of Mike's presentation:* Date of the presentation:* Start time:* End time:* Does time need to be allocated for questions?* Yes No If so, how much time should be allocated? What needs to happen in order for this presentation to be successful? (Please be as specific as possible.)* What is on the agenda prior to Mike's presentation? What is on the agenda following Mike's presentation? Are there any potential or existing organizational, industry, or personnel issues that should be mentioned or addressed during the presentation? (e.g. mergers, acquisitions, retirements, awards, etc.) Are there any potential or existing organizational, industry, or personnel issues that should "not" be mentioned or addressed during the presentation? Is there any physical "take-aways" you would like M2 to provide for the participants? Would you prefer that the presentation be done with, without, or with limited use of PowerPoint slides? (Typically, presentations are done without or with very limited use of supporting slides.) Audience / Participant Information Who will be attending (e.g. functional titles of participants)?* Will Spouses be attending? Yes No What is the total estimated number of attendees? % of Males: % of Females: What is the average age of the attendees? Is attendance mandatory or voluntary? Mandatory Voluntary What is the typical educational background of attendees? What are the major responsibilities of the participants? What is important and motivates this group? What is unimportant and turns them off? What are some of the group's strengths? What are some of the group's biggest challenges, both currently and in the past? What does the group need to learn from the presentation? What do you think their general attitude will be towards this topic? Is there anyone specifically in the audience that Mike should recognize or tell a story about during the presentation? Facilities and Logistics Meeting Venue Name:* Address:* City:* Zip Code:* Name of Events Coordinator for the Venue: Phone: E-Mail: Website: What type of microphone will be provided (a wireless handheld or lapel mic is preferred)? Will a lectern be provided? Yes No Will an LCD projector be provided? Yes No Will a sound system be available for playing music prior to the presentation? Yes No What will the room configuration be for the presentation? Who will be introducing Mike? Title Would you like Mike to provide the introduction? Yes No Will Mike be allowed to make his educational materials and products available to the audience for purchase?* Yes No Will the presentation be taped?* Yes No If yes, please indicate type Audio Video [Please note that permission must first be obtained for taping of the presentation and an additional charge will be applied to the speaking fee.] Will other speakers be on the program? Yes No If yes, please provide their name and topic: Speaker: Topic: Speaker: Topic: What speakers have you used in the past that covered topics closely related to the material Mike will be presenting to your audience? Speaker: Topic: Speaker: Topic: What did you like and/or dislike about these presentations and what would you have differently? Please provide the names of any key or senior executives that will be in the audience. With permission, we would like to contact them for more research information on the group. Name: Phone: Email: Name: Phone: Email: Name: Phone: Email: Travel Logistics What is the closest airport to the meeting venue? Recommended Hotel (if different from the venue hotel): Address: Phone: Will transportation be provided for Mike from the airport to the hotel and venue? Yes No If yes: Company/contact name: Phone: If no, what is the recommended mode of transportation to the venue? Emergency Contacts: Name: * Title: * Business Phone: * Home Phone: Cell Phone: Pager: Name: Title: Business Phone: Home Phone: Cell Phone: Pager:
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