WI Speakers

APPLICATION TO BE A WI SPEAKER

Title

Forename *

Surname *

Address line 1 *

Address line 2

Post town

Postcode *

Your email address *

Phone number(s)

Are you a member of the WI *

Yes

If yes, please state which branch(es)

1 *

5 (max)

Availability limited to certain days or times of day *

Fee *

Travel expenses (it is recommended this is geared to fuel costs) *

Equipment needed/provided *

Other requirements

Have you any WI engagements already booked? *

Yes

If yes, when and where?

Any other comments

Please tick the box to prove you are not a robot *

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