BLI Information & Process Form Effective January 1, 2025, BLI pricing will be as follows (price includes travel): 30-60 Minute Sessions: $350 + $50 (admin fee) = $400 90 Minute Sessions: $400 + $50 (admin fee) = $450 Virtual Sessions: $350 + $25 (admin fee) = $375 120-Minute Session: $425 + $50 (admin fee) = $475 180-Minute Session: $450 +50 (admin fee) = $500 Virtual Sessions: Add $25 admin fee to the 120 (total $450) or 180 (total $475) fee Health Fairs: $75 per hour, plus travel (currently no admin fee) Date submitting this form:(Required) MM slash DD slash YYYY Client:(Required)Account Rep:(Required)Use of BLI approved by:(Required)Choose oneAngela DelahuntKaren KeisPatty ReardonName of Training:(Required)Date/s of Training:(Required)BLI cost as quoted to Acct Rep:(Required)Is the cost covered under the contract?(Required) Yes No Cost quoted to Client if client is paying (Cost per training):(Required)Contact name for Invoice to be sent to:(Required)Contact’s Email Address: Additional Comments