Submit A Success Story Form

First Name: *

Last Name: *

Email: *

Company Name: *

Company Phone: *

Company Address:

Company City:

Company State:

Company Zip:

Workshop Name:

Workshop Date(mm-dd-yyyy):

Your Instructor's Name:

Briefly describe the opportunity / problem (limited to 1000 characters):

Briefly describe the solution and the process you used (limited to 1000 characters):

Describe how the process helped you (limited to 1000 characters):

Estimate Annual Dollar Impact:

Your Manager's Name:

Your Manager's Phone:

Action Management Associates, Inc.