Alumni & Friends of Principia:
Principia Clubs
Principia Club Speaker Form
Principia Clubs: Speaker Program Data Sheet

Please use this form when sending in data for your club’s Speaker Program and do make a copy for your records. Return 10 weeks before the event to:

Principia Field Activities

13201 Clayton Road
St. Louis, MO 63131-1099
FAX: 1-314-514-3196

Printing information for invitation:

Please select your Prin Club:

Day and date of program

Cost of Admission: (enter $0 if category is free)
$ Members
$ Non-members
$ Students
$ Purchase at the door

Name and address of location:

Directions and parking information:

Time of Registration

Program times to

Meal yes | no

Breakfast Brunch Lunch Dinner Refreshments Other

Speaker
Topic
Speaker
Topic
RSVP date
   
Would you like a Principia Admissions Officer present at your event, if possible?

Yes | No
Would you like a Principia Development Officer present at your event, if possible? Yes | No

 

RSVP name and phone and/or e-mail:

“For More Information Please Call” name and phone:

Mail reservations to:

Checks payable to

Please check the list of people you'd like the invitation mailed to:

Whole club mailing list
Patrons and alumni
Alumni
Members only

Target date for invitation delivery to homes

Extra Invitations:

Do you want nearby clubs to receive invitations at their expense? yes | no

# number of extra invitations to be mailed

Name and address to send extra invitations to:

Other Information and Arrangements:

Speaker(s) hotel/home—Name, address, phone number:

Who will meet speaker(s) at the airport and where:

If the club is planning other activities for the speaker(s), please indicate the time and nature:

Submitted by
E-mail
Phone
Fax

To help you plan your speaker event budget (airfare, accommodations, meals, etc.) please see the President's Handbook, page 52, for an income and expense planning form.