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Form to Request a Speaker

 

Form to Request a Speaker

Please complete and return to :
Mr. Shang Su 蘇尚賢 0921-106-031 dreamsu2003@yahoo.com.tw
Ms. Wini Kao 高琦瑋 0919-033-018 chuiweio@yahoo.com.tw

Please Print Clearly

     
Contact Name  

                                                                                                                                                                                          
Your Organization's Name                                                                                                                                            

Tel (Home)                                                                     Mobile                                                                            
E-mail                                                                                                                                                                           
Mailing Address:                                                                                                                                                           
City / Town:                                                                    Postal Code:                                                                        

By Toastmasters International Rules, speakers cannot charge for speeches which are arranged, through the District 67 Speakers Bureau. A donation to District 67 is welcome and acceptable. 

Describe the type of speech you are looking for: Do you want a Keynote speech? Motivational, Inspirational, Informational, training session, or perhaps you want a Master of Ceremonies? What Topic?
                                                                                                                                                                                         
                                                                                                                                                                                         
                                                                                                                                                                                         
                                                                                                                                                                                         

Time allotted?                                                    Expected number in attendance?                                                           
Date?                                                                 Location?                                                                                               
Is there anything else that we need to know?

                                                                                                                                                                                       
 

Your request will be acknowledged within one week and your speaker will also contact you directly. If you do not hear from your speaker, or if you have any questions, please contact the coordinator at: Webster 0938-218-667