The Organizational Clinic Support

Order Form - Academic Use

Service Order Form

Organizational Information
Organizational Products
Organizational Service(s)
Primary Contact
Profile of Department to be Assessed
Contractor Arrangement
Performance Improvement Consultant is assigned by The Organizational Clinic
The contractor is the professional that will be conducting the consultation exercise
Code & Fee
Payment Plan
No subsequent payments
No Finance Fees Added
Pay on Day 30
2.5 % Finance Fee Added
50% on day 30; 50% on day 60
5% Finance Fee Added
Credit / Debit Cards
Signature of Authorized Representative
Primary Contractor
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