Invoice Request FormGroup Program - The MindFlow Cycle**Program is not confirmed until payment received. Organization Name * Primary Contact Name * First Name Last Name Primary Contact Email * Primary Contact Phone * Country (###) ### #### Number of Participants 2 - 15 Partipants @$3200 16 - 30 Participants @ $5500 W-9 Required? Yes, W-9 Required No, W-9 Not Required Message * Thank you! You will recieve an invoice in 2 days to the email recorded on the form. Please note, program is not confirmed until payment received. Payment Structure may be negotiated (e.g. 50% to confirm, Remaining following conclusion of program)
