If your group is interested in participating in a Speaker Exchange,
Please complete and submit the following form.

 

NOTE: This is an exchange of speakers between groups outside of the area.
Please do not submit a form if your group does not have a member willing to travel to other areas.

 

    Group's Name:

    Group's Address:

    Exchange Meeting Day:

    Exchange Meeting Date:

    Exchange Meeting Time:

    Meeting Format (Beginner,Step, Pamphlet,Topic,etc.):

    Speaker Clean Time Requirements:

    Speaker Exchange Rep. Info

    Name:

    Phone:

    Email:

    Other Group Particulars:

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