Program Proposal Form

Thank you for your interest in presenting to the Pittsburgh North Regional Chamber of Commerce. Please fill out the form below. This will help us evaluate your proposal to determine if it is consistent with the goals and mission of the Pittsburgh North Regional Chamber.

Program Proposal Form

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Fields marked with a * are required

Contact Person *

Phone *

Email *

Member Business/ Organization *

Address 1

City

Zip / Post Code

Program Title *

Program Description *

Who is your target audience? *

Are you proposing a series or one single program? If a series, how many? *

Over what period of time is the series?

Is this free or is there a charge for the program? *

Are you promoting a business or service? If so, please provide a description of it. *

Are you promoting a book? If yes, provide the title, name of the author, publisher and ISBN.

Describe any special supplies or audiovisual equipment you would need. *

We expect presenters to help promote their own programs. How will you assist with publicity? *

Would your presentation be held at Chamber Headquarters or an outside location? Please describe. *

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