Great Plains RYLA Speaker’s Bank

Indicate here the names and contact information of anyone that you would recommend as speakers or programs for Great Plains RYLA.

Is this individual a Rotarian? *

Yes

Speaker's Rotary Club *

Speaker First Name *

Speaker Last Name *

Address

City

State

Zip Code

Phone *

Short Biography *

Keep to 200 wors or less

What topics of interest is the speaker is willing to speak on? *

Is there a speaker fee?

Yes

How much is the speaker fee? *

Have you heard this inividual speak before or has this speaker spoken before? *

Yes

Where and/or on what occations have you heard this speaker speak before? *

As the individual submitting this, are you the speaker named above? *

Yes

Submitter First *

Submitter Last *

Phone *

If you are human, leave this field blank.