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Executive Women International - Membership Application

EWI Speakers Bureau Application

The EWI Speakers Bureau is a free service for EWI Members.

If you are an EWI Member, please log in to the EWI web site to submit your Speakers Bureau application. If you are not an EWI Member, you can still participate in the Speakers Bureau for an annual fee of $100.

Please complete the following form to submit your application.
   
First Name:
Middle Initial:
Last Name:
Title:
Company Name:
Address 1:
Address 2:
City:
State/Province:
Zip/Postal Code:
Phone ( ) -
Fax ( ) -
   
Email:
Website: http://
   
Speakers Bureau  
Brief Bio:
(100 words max.)
Program Topics (Hold ctrl + click to select multiple)
Please provide Name, Phone Number and/or Email addresses for three (3) references:
 
EWI Chapters you have presented for: (Hold ctrl + click to select multiple)
Speaking opportunities of interest:
Please check the box next to the speaking opportunities that are of interest to you, and enter your fee range for that type of engagement.
Type: Fee Range
Career Tracks at the Leadership Conference and Annual Meeting
Presidents Caucus
Academy of Leadership
Teleseminars
Professional Development for local chapters
  Indicate Area Preference : (Hold ctrl + click to select multiple)
   
Please enter a username and password. Once your application is accepted, you will be able to log on to the EWI web site to maintain your profile information.
Web Site Login:
Password:
Confirm Password:
 

Press the 'Submit' button to submit your application.