Program Speaker Idea Submission Form

Please fill out this for to submit any program speaker idea.  Fill out the form completely even if you are proposing yourself as the speaker.  This form will being the process the program committee used for vote on program ideas.

  • If you are not a Toledo Rotarian, please list a Rotary Club of Toledo Rotarian that you know.
  • Please fill out this field even if you are proposing yourself as a speaker.
  • Please be specific on the topic; not just company names.
  • This field is for validation purposes and should be left unchanged.