Contact — Quantum Gender

Would you like to hire me for a speaking event? Provide training to your staff? Or something else?

The work I do with each client is unique and driven by your goals. Please use the intake form below to provide as much information as possible.

Oh! And sign up for the Gender InQueery newsletter while you’re here!

New Client Info

Contact Name

First Name

Last Name

Contact Email

Contact Phone

(###)

###

####

Org/Company Name

Please give the full name of the organization or company

Position/Title

It always helpful to know what role you have within the org/company.

What type of services are you interested in receiving?

Please select all that apply

Keynote/Special Event Speaking

60-90 Minute workshop

Hourly Consulting

Tell me more about what your org/company needs

Please use this space to briefly describe what lead you to seek out my services.

Budget Range

Please choose the option that is most accurate to the budgeted amount for hiring me

Estimated time frame

Please tell me as much as you can about when you're looking for services to take place. It's fine to give a range of months if needed.