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Rotary Club of Walnut Grove, PO Box 81, Walnut Grove, CA 95690
Rotary Opens Opportunities 2020-2021
Rotary Club of Walnut Grove
Guest Speaker Application On behalf of our Rotary club, I would like to personally thank you for being our Guest Speakers. We look forward to your presentation. Please, take a minute and complete this form and return it 7-10 days prior to your speaking date.
Thank you, Kim Tranum, Program Director, Rotary Club of Walnut Grove.
Name and Vocation:
Speaking Date: ___________________________________
Log-In Time: 12:30
pm PST Access for Log-In will be emailed the Sunday before
What is Your Topic Headline with Brief Summary?:
Short Biography and Photo for Introduction:
In the space below or using additional paper, please provide
a short biography to be used as an introduction. _____________________________________________________________________________________________
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Message for the President to Deliver:
What message from your presentation can our President strengthen: __________________________________________________________________________________________________________________________________________________________________________________________
Visual Content, Photo, Graphics, Social Media:
Please bring your presentation
- PowerPoint ready on a Flash Drive.
If you have any questions, let us know in advance
:_________________________________________________________________________________________________________________________________________________________________________________________
Permission to Use Your Bio, Photo, and Presentation:
As a guest of the Rotary Club of Walnut Grove, youunderstand the collection, storage and use of your information, biography, photos, and presentation may be used on our media platforms . Please type or e-sign your name as consent. Thank you!
Signature:
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Date:
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Name: _____________________________________________________________________________________________
Vocation: _____________________________________________________________________________________________
Email Address: _____________________________________________________________________________________________
Mailing Address: _____________________________________________________________________________________________
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Telephone Number:
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After completion, please save this application as a PDF and email to: [email protected]
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