Toastmasters District 55 - Speakers Bureau Request Form

Mark your calendar for the Fall Conference

Saturday, November 15, 2008 in Austin.

Join Our Mailing List

Central and South Texas Speakers Bureau Request Form

Requesters Name:
Date of Engagement:	Time:
Location:
City:
State:	Zip Code:
Length of Presentation:	Approximate Audience:
Other preferences:
Speech Subject: (motivation, entertainment, law, health, career, relationships, etc.)
Requesting Organization:
Name:
Address:
City:
State:	Zip Code:
Onsite Contact:
Daytime Telephone:	Evening Telephone:
Fax:	Pager:
Email Address:
Please tell us more about your organization: (school, church, service club, corporate, etc.)
Alternate Contact:
Daytime Telephone:	Evening Telephone:
Fax:	Pager:
Email Address:
How did you hear about us? (Newspaper, friend, invitation, web site, other - please list)
Here's another group that might want Speakers Bureau members for speaking engagements:
Contact Name:
Organization:
Telephone and/or Email: