Request Rosalene Glickman Ph.D.

Please print this page and fill out the form below if you would like Dr. Glickman to speak at your next event.

Name:

Title:

Your role in planning the event:

Company/Association:

Address:

City:

State: Country:

Zip Code: E-Mail:

Phone: Fax:

Preferred speaking date and time:

Size of audience:

Your budget for speakers at this event:

Purpose of Meeting:

Comments:

Mail toThe World Academy of Personal Development Inc., 449 S. Beverly Drive Suite 214, Beverly Hills, CA 90212 or fax us at (310) 557-2762.

Contact us at : info@optimalthinking.com View our : Privacy Policy
� Copyright 1998 - 2007. The World Academy of Personal Development Inc. All Rights Reserved. OPTIMAL THINKING is a registered trademark of The World Academy of Personal Development Inc. optimalthinkingTM, optimalthinkerTM, optimalthinkTM and thinkoptimallyTM are trademarks of The World Academy of Personal Development Inc. No portion of this site may be copied, retransmitted, reposted, duplicated or otherwise used without the express written permission of the author.