RFW

Thank you for your interest in our services. In order to help us process your request, please complete and submit the following form.

Event Details

Full Name

Organization

Phone

Desired outcome for the event participants.
a) What do you want the participant to learn and experience during the presentation.
b) What is the one action you want them to take after the event.

Audience size

Date

Event Location

Time

Identity presentation format and duration

Please check all that apply

Keynote Speaker

Conference Speaker

Work Shop Facilitator

Seminar Facilitator

After Dinner Speaker

Panel Discussant

Moderator

Retrat Facilitator

Alignment and value-add

Summarize why the vision of a Rape Free World is critical for
i) Your organiztaion
ii) The audience for the upcoming event

Requested Topic

Please check all that apply

Rape tolerant World 101

End the Silence and Shame

Why Rape Persists

How Language Perpetuates Rape

What the Church can do

Consulting fees

1. Our fees are customized: we negotiate client-specific fees designed to meet the specific needs of our diverse clients.
2. Once we receive and review your Services Request Form, we will contact you to discuss and present the fee quote for your consideration.

If you have any questions while filling out this form, reach out at 610-394-6761 Thank you for sharing this critical pre-planning information with RFW.