Interested in speaking at our meeting?  Fill out this form so that we can learn more about you, your possible meeting topics and availability.
Name: *

Company Name:

Phone Number: (    ) *


Email Address: *

Dates Available: (List dates you'll be able to speak, and please keep in mind we meet in Chelmsford, MA on the first Wednesday of each month) *

Meeting Topic: (List and briefly describe 1 or more)

Member Benefit: (How will our members benefit from attending your presentation)

Meeting Length: How long do you plan to speak for?

Our meetings general run from 7pm-9pm including time for introductions, networking and Q&A
Biography: (Briefly describe your background, credibility, and experience) *

Presentation Equipment/Supplies: (Would you need us to supply specific items such as, computer, speakers, microphone? Please note: The hotel supplies chair, projector, etc. *

Do you plan to market a product or service to our members? *

Do you plan one marketing a course or service to our members?

If you answered yes to the above questions, please tell us more about it:

If applicable, feel free to upload any marketing material here.

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