KIRKLAND KIWANIS CLUB - PARTNERS FOR PROGRAMS

PROGRAM WORKSHEET

In order for your program to be scheduled, confirmed and announced in the weekly newsletter please complete

this form and return to Gary Passavant, 425-802-1515, garypass@comcast.net at least 3 weeks prior to your

scheduled program.
 

If you need assistance scheduling a program please contact Gary asap, at least 1 month in advance.

PROGRAM DATE: ________________________________________________________________

SPEAKER NAME: ________________________________________________________________

TOPIC and DESCRIPTION: _________________________________________________________

SPEAKER CONTACT INFORMATION: Phone and Email

________________________________________________________________________________

SPEAKER AFFILIATION and TITLE:

_________________________________________________________________________________

KIRKLAND KIWANIS PROGRAM PARTNERS:  Note names, host, phone and email

__________________________________________________________________________________                                      

Note: Kirkland Kiwanis has a projection screen, BUT other presentation aides and equipment like

computers, projectors, flip charts, extension cords, etc., MUST be provided by the speaker!

Thank you,

Program Committee:

Coordinator:  Gary Passavant, 425-802-1515, garypass@comcast.net

Assignments:  Steve Lutz, 425-785-2777, stephenhlutz@comcast.net