WRJ Midwest District Speakers Bureau Request Form

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Sisterhoods or Women's Groups in good standing with both WRJ and the Midwest District are eligible to have a Midwest District Speaker visit at no charge once a year. When requesting a speaker, please do not contact the speaker directly. Instead, contact the WRJ Midwest District Speakers Bureau Chair or the WRJ Speakers Bureau. Please submit your request eight weeks in advance of the desired date. (The SUBMIT button is at the bottom of the form.)

If you have any questions or concerns, please contact Marilyn Glazer, Speakers Bureau Chair at MarilynGlazer@aol.com.

Sisterhood/Women's Group Name *

Sisterhood/Women's Group City *

Sisterhood/Women's Group State *

Your Name *

Your Position *

Your Email *

Your Phone Number *

Best Time to Call *

Sisterhood President (if not you)

Date of Event *

YYYY

Time of Event *

Time

Location *

Anticipated number of attendees *

Check all areas that apply to this request *

General Sisterhood Meeting

Leadership Training

Special Interest Meeting (i.e., YES Fund Event)

Sisterhood Shabbat and/or D'Var

Installation Service

Other

Required

Is there a particular speaker you wish to request? (Every effort will be made to fulfill requests, but it cannot be guaranteed.) *

What specific issues would you like the speaker to address? *

When did your Sisterhood/Women's Group last have a District speaker? *

When did your Sisterhood/Women's Group last have a speaker from Women of Reform Judaism? *

Please provide any additional information about your sisterhood that will be helpful for your speaker. *

Thank you.

Submit

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