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Speaker Form
Thank you for your willingness to speak to our Club. Please fill out this form so we can advertise your presentation to our members and represent you and your organization in a professional manner. The meetings run from noon to 1:15 pm and you will have approximately 35 minutes to speak and 10 minutes to answer questions. If you will be bringing a laptop for your presentation, please arrive 30 minutes in advance so we can make sure that your laptop/presentation is set up on the screen.
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Name and Title of Speaker:
*
Company/Organization (optional):
Cell Phone Number:
*
Email Address
*
Date of Program:
Title of Speech:
*
A short, 70-word, description of the presentation:
*
A short biography to use for the introduction:
*
Photo to be used on our website:
*
Click or drag a file to this area to upload.
Logo to be used on our website (optional):
Click or drag a file to this area to upload.
We will be providing lunch for you and a guest, please let us know the name of your guest for lunch:
Submit