Name:
Katarzyna Kubit APC
IIC&M Professional Membership:
N/A
IIC&M Accredited Membership:
Accredited Practitioner Coach (IIC&M)
Membership Expiry Date:
28th February, 2017

Katarzyna Kubit APC

Country

Country

This is the country in which the Coach or their business is located.
This does not mean that the Coach restricts their business to just this business location.

Poland

Language(s)

Language

Polish

Contact me

Contact me

When you press send at the end of this form, an email will be sent to Katarzyna, with all the information you have entered in the form below.  Your email address is mandatory as this will allow Katarzyna to respond.  The telephone number and skype fields are optional as you are able to select whether Katarzyna should contact you by telephone, skype or email.  Please note that your email address will not be stored anywhere other than on the email you are now sending to Katarzyna.

When you press send at the end of this form, an email will be sent to Katarzyna, with all the information you have entered in the form below. Your email address is mandatory as this will allow Katarzynato respond. The telephone number and skype fields are optional as you are able to select whether Katarzyna should contact you by telephone, skype or email. Please note that your email address will not be stored anywhere other than on the email you are now sending to Katarzyna.

Your Name (required)

Your Email (required)

Country of Residence (required)

Telephone number

Skype ID

What is your occupation? (required)

Are you looking for a Coach or a Mentor? (required)

What sort of coach or mentor are you looking for? (required)

How would you like to be coached or mentored?

How did you find out about the IIC&M? (required)

Any further message?