The Organizational Clinic Support
Email: customerservice@organizationalclinic.com

Quotations
Size of
Organization		 Minimum size of
Focus Group




Number of employees in target
organization



Number of employees in target
organization


Types of Options Basic Premium Premium-Plus
On-Demand $495 $1,750 $2,150
Annual
(6 sets of services per year)		 $222.75 / Month $787.50 / Month $987.50 / Month
Organizational Information
Address
Organizational Products
Organizational Service(s)
Primary Contact
Profile of Department to be Assessed
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
Method
Credit / Debit Cards
Authorization
Signature of Authorized Representative
Sign above
Primary Contractor
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