Request a Quote - hart2heart

Remember that Kina is presenting virtually with her Virtual Training Meetings. Mention that you want to go virtual below in the form to start the process.

Use the following form to request a quote for Kina to present at your event. Please be as detailed as possible. If you would like to contact Kina for another reason, please go to our Contact page

Name*
First Last
Email*
Phone Number*
Company Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Number of Employees
Approximate Size of Audience
Event Date
Date Format: DD slash MM slash YYYY
Event Location
Have you had a previous safety speaker
- Yes
- No
- Unsure
What other comments would you like Kina to know?
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