Speaker / Presenter Application Form Kingston Event Spring 2012

Interested in becoming a Speaker / Presenter at the 2012 Canadian & Kingston Dowsers Event? Fill out the following online application or print our offline speakers application form in PDF and mail it to:

Canadian Society of Dowsers

c/o Lloyd Nuttall R. R. # 1 Gananoque ON K7G 2V3

PLEASE NOTE: The offline speakers application form in PDF format and requires Adobe Reader to open.

You can download PDF to your computer here.

Speaker Information
2nd Speaker or Supporting Person (if applicable)
Dowsing References (Name / Phone / Email)
1.
3.
2.
(What local groups are you associated with?)
Attach a head shot photo of yourself; photos can also be submitted via email to info@canadiandowsers.org