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Speaker Referral Form

Survey Start Date: 6/4/2007      Survey End Date: 6/4/2009
The Greater Philadelphia Chamber of Commerce hosts annual, quarterly, and monthly programs and series to ensure its members get the results they want and the tools they need to succeed. We also believe in the value of diversity in our business community and seek to provide opportunities for all in the business sector to be an active part of our business community. Help us maintain high quality, diverse programs by referring a speaker.
Name of referring member (your name):
Company of Referring Member
Speaker's Name
Speaker's Title:
Speaker's Company:
Speaker's Company Address:
Speaker's Email Address:
Speaker's Business Phone:
Speaker's Website:
Venue(s) at which you have seen the speaker present:
This potential speaker is qualified to present information related to Finance:
This potential speaker is qualified to present information related to Human Resources:
This potential speaker is qualified to present information related to Communications:
This potential speaker is qualified to present information related to Marketing:
This potential speaker is qualified to present information related to Sales:
This potential speaker is qualified to present information related to Leadership:
This potential speaker is qualified to present information related to Not for Profit:
This potential speaker is qualified to present information related to Real Estate:
This potential speaker is qualified to present information related to Business Operations:
This potential speaker is qualified to present information related to other fields. Please specify:
Other Information About the Speaker: