Luncheon Speaker Nom — PWCC

Luncheon Speaker Referral Form

Thank you for your interest in submitting a Speaker Referral to PWCC! We aim to feature speakers who can inspire and motivate our members, and your help is essential in achieving this goal.

Please note that our speakers must be female and not currently members of PWCC. We are looking for referrals of potential speakers you know and can contact directly. Ideally, we prefer warm referrals. While we would love to have Oprah speak, if you don’t have her cell phone number or are well-connected with someone who does, please don’t suggest her. Thank you for your support!

Referred by (Name)

First Name

Last Name

Email

Phone

(###)

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I recommend the following to speak at an upcoming PWCC luncheon

First Name

Last Name

Topic of presentation

Reason for recommendation

Have you seen this person present before?

Please provide links to videos of this speaker presenting: (YouTube, website, etc)

Do you know this speaker or have a direct connection to them?

Speaker's Contact Email

Speaker's Contact Phone

(###)

###

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Speaker’s Contact Assistant/PR Representative/etc. (if someone else handles speakers calendar)

First Name

Last Name

Is the speaker a PWCC Member?

What professional topics would you like to hear about?

What personal topics would you like to hear about?

Any other comments or suggestions for us?