Why do we ask for your Social Security Number?

In the event that your PFEW company wins top honors for the week, PFEW will purchase shares of stock in an international company. Your Social Security number is needed for that transaction.

PFEW does not share your Social Security Number with anyone for any reason other than for the purchase of that stock.
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PFEW Speaker Sign-up


Complete the application. We will contact you with more information. Thanks again for your support.

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*Name:
Title:
Company:
*Address:
*City:
*State/Province:
*Zip/Postal Code:
*Phone: ( )  -
Fax #: ( )  -
*Email:

Please indicate which weeks you are available to speak:
*Week 1: July 7 - 13, 2013 - Lycoming College
*Week 2: July 14 - 20, 2013 - Lycoming College
*Week 3: July 28 - August 3, 2013 -
   Lycoming College
*Week 4: August 4 - 10, 2013 - Penn College

Comments On Availability

Potential Speaking Topics

GENERAL RELEASE FOR USE OF PICTURES AND QUOTATIONS

I hereby consent to the publication and use by PFEW of my name, biographical data, quotations or written or verbal statements about PFEW, and any official photographs taken by the PFEW staff for publicity and promotion of the PFEW program. Further, I give permission for my picture to appear on a PFEW Web Page and promotional video. (Pictures and names for the web page will only be used for promotional purposes and are simply snapshots that are taken during the program. No other identifying information will be published.)

By typing my full name below, I am agreeing to the terms above and understand that this “electronic signature” is binding as would be a handwritten signature.


*(type your full name)

*(date)