SIA Virtual Speaker Exchange
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Town *
Group Name *
Group Contact - Name *
Group Contact - Phone Number *
Group Contact - Email Address (Optional but highly recommended)
Add this email to the SIA Email Distribution List, in order to receive periodic SIA related announcements
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Schedule for Incoming Slot you need filled. *
Examples of detailed schedule of incoming slots.
Please give us the schedule for your incoming speaker slots in detail.
Meeting Format - speaking length or any other information you feel would be useful to the speaker (Optional)
Additional Notes (Optional)
Link to Meeting Details page in SIA Meeting Finder (Leave blank if you don't know how to find this)
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This form was created inside of Suffolk Intergroup Association.