Request A Quote for Policy Consulting Services

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  • Name of Organization*
  • Who do you serve?*
    Children

    Teens

    Elderly

    Individuals with Physical / Cognitive Disabilities

    New Immigrants

    Individuals experiencing distress

    Young adults
  • What type of organization best describes your organization?*
    >Private Sector BusinessCharityNot-for-profitEntrepreneurPublic Sector (Government)Professional Entity (Consultant, Legal, Insurance)
  • Is there a specific policy consulting service that you are interested in?*
    >Customized Policy DraftPolicy Review and Gap AnalysisPolicy Review and UpdatePolicy Audit
  • What is your organization's annual revenue*
    <$250,000

    $250,000-$650,000

    $650,000-$1,000,000

    $1,000,000-$2,000,000

    >$2,000,0000
  • Preferred Language*
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  • Your Name*
    First Name

    Last Name
  • Your Title / Role at Organization*
  • Your Email*
     
  • Your Personal Phone Number*
     
  • Address of Organization*
    Street Address*

    Address Line 2

    City*

    Province / State / Region*

    Postal Code / Zip

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    Country*
  • Name of Director/Senior Pastor/Principal*
    First Name

    Last Name
  • Email of Director/Senior Pastor/Principal*
     
  • Best Phone Number to reach you at*
     
  • Organization Website
     
  • Are you affiliated with a denomination or association? If so which one?
  • Who can we thank for referring you to Plan to Protect®?*
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