Request For Service Form

Welcome to the I EXCEL Program Request For Service Form. The information submitted is designed to structure a custom I EXCEL Program that starts with the presentation. For all presentations or annual events the I EXCEL Program provides dynamic career readiness tools that improve services offered to your viewers and clients. It is customary that the requesting party furnishes a minimal of $100.00 to attend an event. The funds cover the event setup and supportive technology needed to capture the audiences attention . Please fill out all the required fields.
Full Name
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Phone Number
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Email Address
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Please tell us a little about your request
Business Website
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Industry of Business
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Services Summary
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How can the I EXCEL Program support you
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Payment Processing Summary
Expiration Date
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Security Code 3 Digits
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Billing Address
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Billing Zip Code
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Additional Notes
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Choose Payment Type

Check by mail: ELISID Freedom Foundation I EXCEL Program 1450 University Avenue Suite: F167 Riverside, Ca 92507

Total Amount
0.00 USD

Payment Authorization
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Date Of Your Request
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Please select the date or dates of the event.

Additional Event Details
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