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					                           CPCU
 The Society of Chartered Property & Casualty Underwriters
                     Minnesota Chapter

CPCU Speakers Bureau - Speakers Assignment/Report:

                                                         Return to:
Speaker: _________________________                       Royanna G. Carle, CPCU
                                                         Berkley Risk Administrators Company, LLC
Phone #: _________________________                       222 South Ninth Street, Suite 1300
                                                         Minneapolis, MN 55402
Email: ___________________________                       Telephone (612)766-3357 Fax (612) 766-3399
                                                         Email: rcarle@berkleyrisk.com

Speaker Assignment:

Group Name: ____________________________________________________________
Key Contact:
Phone #:                              Email:

Speech Location:

Speech Topic:

Comments:




Date of Speech:
Speech Title:
Number of people attending:
Nature of audience: (i.e. students, accountants, etc.)
Speaker’s comments:




Speaker’s Report: (Please complete and return to Royanna Carle at the address above)

				
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posted:8/5/2011
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