* Speaker Name:
Title:
* Company:
Address:
(Suite, Mail Drop, Apt.)
City:
State:
ZIP Code:
* Phone:
Fax:
Web Site:
* Email Address:
Speaker's Background:
Qualifications and Experience:
Summary of Previous Speaking Engagements: Please send handouts from previous presentations to: Charise Strandberg GTCC PO Box 420 Tampa, FL 33601 fax: 813-223-7899 cstrandberg@tampachamber.com
References: Please include contact numbers.
Topic(s) of Presentation: Include definition of audience and benefits for audience.
Are you a Tampa Chamber Member?	Yes   No
Please list which event you are interested in speaking at:	Business Owners' Roundtable Small Business Seminar Marketing Mondays