Sheely Group Communications
P.O. Box 169, 608 West State Street, Trenton, Ohio, 45067 Phone 513-988-9735
Website https://sheelychiro.com/ E-Mail drrob@sheelychiro.com
PROGRAM REQUEST FORM
DAY________________________ DATE _____________________ TIME____________________
ORGANIZATION _________________________________________________________________
CONTACT PERSON _______________________ PHONE _______________________________
MEETING PLACE____________________________ ROOM/BLDG._______________________
ADDRESS_________________________CITY________________________________
MEAL_____________YES__________ NO___________
SPEAKER TO TALK ________MINUTES. APPROXIMATE NUMBER ________
IF SPEAKER WISHES TO ILLUSTRATE THE TALK WILL A …
a. SLIDE SCREEN BE AVAILABLE AT THE LOCATION OF THE TALK [ ] YES [ ] NO.
b OVER HEAD PROJECTOR BE AVAILABLE AT THE LOCATION OF THE TALK [ ] YES [ ] NO.
YOU WILL BE CONTACTED AS SOON AS YOUR REQUEST IS RECEIVED AND A PROGRAM ARRANGED.
PLEASE CHECK THE SUBJECT YOU WISH TO BE PRESENTED:
[] 1. "STRESS AND MUSCLE TENSION CONTROL - IT'S NOT JUST YOUR NERVES."
[] 2. "BETTER NUTRITION - IT'S NOT JUST WHAT YOU EAT."
[] 3. "SAFETY AND REDUCED BACK INJURIES AT WORK."
[] 4. "THE TENSION HEADACHE-HOW TO HANDLE IT."
[] 5. "LOWER BACK PAIN-WHY LIVE WITH IT?"
[] 6. "STRESS, SYMPTOMS, AND PAIN-THREE'S A CROWD."
[] 7. "RELIEF FOR LOWER BACK PAIN DURING AND AFTER PREGNANCY."
[] 8. "CHIROPRACTIC-THE NATURAL ROAD TO HEALTH."
[] 9. "POSITIVE MENTAL ATTITUDE-FOR IMPROVED RELATIONSHIPS WITH SELF, HOME AND
WORK."
[] 10. "GOAL SETTING-AND THE GOD GIVEN GIFT OF CHOICE"
[] 11. "SLOWING DOWN THE AGING PROCESS."
[] 12. "GROWING PAINS ARE NOT NORMAL IN YOUR CHILDREN."
[] 13. "SCOLIOSIS (CURVATURE OF THE SPINE) AND YOUR CHILD."
[] 14. "SPINAL HEALTH CARE" (ADULT OR CHILDREN'S PRESENTATION).
[] 15. "HEALTH CARE, POSITIVE ATTITUDES AND GOAL SETTING – THREES COMPANY."
(ADULT OR CHILDRENS' PRESENTATION).
[] 16. "PRAYER, HEALING, AND CHIROPRACTIC-HOW DO THEY GO TOGETHER? - PERFECTLY!"
[] 17. "STRESS MANAGEMENT WORKSHOP."
[] 18. "HEALTH & WELLNESS IN THE WORK PLACE."
[] 19. "HEALTHY WORK RELATIONSHIPS"
[] 20. "HEALTHY CUSTOMER SERVICE"
PLEASE COMPLETE THE ABOVE FORM IN ONE OF THE FOLLOWING WAYS. . .
TALKS are presented at no charge to schools, community clubs, and churches.
Business talks can be at no charge based on how much shameless promotion you allow me to provide about my services.
Many companies have used my enthusiastic presentation skills for employee motivation, understanding vision, living life with purpose, personal mission statements, and team building activities. Talks of this nature require a charge for businesses for my services even though I ecstatically enjoy providing them to excitedly screaming business groups.