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Request a Corazón Presentation
Are you from a Rotary group that is interested in requesting a presentation about Corazón? Please fill out the form below and someone from our team will get back to you to schedule a date.
Questions? Email office@corazon.org
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Email
*
Your email
Main point of Contact
*
Enter the name of who will be the point person for your Rotary group. Our team will reach out to the main point of contact to establish a presentation date.
Your answer
Main Contact Position
*
Your answer
Main Contact Phone Number
*
Your answer
Second Contact
*
Enter the name of a second point of contact we may reach out to in case we are unable to reach the first point of contact.
Your answer
Second Contact Position
*
Your answer
Second Contact Phone Number
*
Your answer
Club Name
*
Your answer
Club Rotary Number
*
Your answer
Club Location
*
City, State
Your answer
Presentation Details
Please provide 3 possible dates for a presentation
Presentation Date 1
*
Please provide a date that you would like to have a presentation on.
MM
/
DD
/
YYYY
Presentation Date 2
*
Please provide a date that you would like to have a presentation on.
MM
/
DD
/
YYYY
Presentation Date 3
*
Please provide a date that you would like to have a presentation on.
MM
/
DD
/
YYYY
Presentation Time
*
Time
:
AM
PM
How much time will this presentation be allotted?
*
Your answer
Additional Information
How did you hear about us?
*
Website
Newsletter
Social Media
Advertisement
Friend
Rotary
Please share anything about your club that you would like us to know about.
*
Your answer
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