2010 Founders Day Request Form
Chapter Name
Founders' Day Contact Name, Address and Email
Top three topic choices (Place in order of preference - topic list is available at www.uwalumni.com/chapterleader under Planning Great Events). Think about unique venues and exhibits in your community that you might want to tie in with your Founders' Day. Founders' Days have been held at local sports facilities (e.g.,sky boxes), public gardens, museums, art exhibits, etc.
Please note athletic speakers are not eligible as Founders' Day speakers.
Topic Choice No. 1
Topic Choice No. 2
Topic Choice No. 3
Preferred Date or Days of the Week/Time of Day (lunch, dinner, afternoon reception, etc.). Flexibility helps in booking your speaker.
Preferred Date/Day No. 1
Preferred Date/Day No. 2
Preferred Date/Day No. 3
Which is most important to you?
Date of Program
Specific Topic
Comments/Questions
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