Presentation Request Form - The Delta Chi Fraternity

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Presentation Request Form

Name(Required)

First Last

Email(Required)

Phone(Required)

Chapter/Colony(Required)

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Presentation Topic Area(Required)

Leadership

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Service/Philanthropy

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Please Specify:

How long would you like your presentation to be?

15 minutes

30 minutes

45 minutes

60 minutes

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Please Specify:

Please tell us a little more about what you're looking for in the presentation, and what would be helpful for your organization:(Required)

Preferred date/time of presentation:(Required)

MM slash DD slash YYYY

Alternative date/time of presentation:(Required)

MM slash DD slash YYYY

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The Delta Chi Fraternity, Inc. ™ | 3845 N Meridian Street, Indianapolis, Indiana 46208
(463)207-7200 | headquarters@deltachi.org

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