Indiana Masonic Speakers Bureau Registration Name * Lodge Name & Number * City & County * Phone Email * Title of Presentation * Brief Description/Synopsis * Length of Presentation * Do you own your own computer and projector? Yes, I owe both a computer and projector Computer only Projector only No what is your general travel radius for presentations? Up to 10 miles Up to 25 miles Up to 50 miles Up to 75 miles Statewide Would you consider traveling beyond your indicted radius with compensation or expense reimbursement? Yes No Speakers Fee / Honorarium expectations No Fee Mileage reimbursement only Honorarium If honorarium, please specify when are you generally available? Weekend evenings Weekend days Weekend evenings Flexible/Any How far in advance should requests be submitted? 1 week 2 weeks 1 month 2+ months Additional Information Submit
