Consulting Form - White Eagle Promotions

Fields marked with an asterisk ( *) are mandatory.

NAME:
First Last
BAND OR COMPANY NAME:
TITLE/POSITION:
EMAIL:
WEBSITE:
ADDRESS:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
PHONE NUMBER:
I NEED HELP WITH:
WHAT ARE YOUR GOALS?
ADDITIONAL COMMENTS:
MINIMUM BUDGET*
BUDGET:
FEES:
- $125.00 - 30 minutes
- $250.00 - 1 hour
- $350.00 - 1 Hour Management Consulting
- Ongoing monthly (please call for a quote)
PAYMENT METHODS
- DIRECT EMAIL TRANSFER - Pay to: maureen@whiteeaglerecords.ca
- PAYPAL
- TELEPHONE WITH CREDIT CARD PAYMENT
- WESTERN UNION MONEY TRANSFER