Name:
Lisa Chell APC 
IIC&M Professional Membership:
N/A
IIC&M Accredited Membership:
Accredited Practitioner Coach (IIC&M)
Membership Expiry Date:
7th October, 2017

Lisa Chell 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.

Canada

Language(s)

Language

English

Contact me

Contact me

When you press send at the end of this form, an email will be sent to Lisa, with all the information you have entered in the form below.  Your email address is mandatory as this will allow Lisa to respond.  The telephone number and skype fields are optional as you are able to select whether Lisa 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 Lisa.

 

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?