Speaker Form

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Speaker Information 

2012

Meeting Date:  

Title of Program:

Name of Speaker:

Born (Date & Place):

Education:                                

Employer:

Title:

Civic Involvement:           

Other interesting info about speaker:

Short Paragraph on Program for Club Newsletter:   

IMPORTANT: Please email completed form 2 WEEKS prior to scheduled date to:             

Brandon Davis                                    Greg Crawford                         Julie Beatty

bcdavis@bkd.com                   greg@mymortgagehouse.com            mbsail1@gmail.com