Speaker Inquiry Information

Rotary Club of Springboro Speaker Inquiry

 

Name of your Business/Organization (if applicable):  _____________________________________________________________

Name: _________________________________________________________

Contact Phone Number:____________________________________________________

Contact Email Address: ____________________________________________________

I have read the speaker guidelines above and my talk will be able to comply with the guidelines.                 ________Yes            ________ No

We want to connect our members with you!

Website address :     _______________________________________________________

Facebook page:        _______________________________________________________

Twitter account:       _______________________________________________________

Instagram account:   _______________________________________________________

Topic/Title of your presentation:

______________________________________________________________

How soon would you like to make your presentation to the Springboro Rotary club?

______________________________________________________________

Description of your presentation: __________________________________________________________________________________________________________________________________________________________________________________________

Please

  • email this form to carolhughes6@gmail.com or
  • fax this form to Carol Hughes at 937-748-0525
  • or mail this form to Carol Hughes 245 Dalfaber Lane, Springboro OH 45066

Call Carol Hughes 937-251-3333 with questions