LAI Chicago Region Program Intake Form To properly prepare the promotional pieces needed for marketing this event, please complete this form at least 6 weeks prior to the program date.Additionally, to keep us all organized, we ask that you or your program speaker(s) complete the presenter form [here].You should be able to edit this form if details change. If you cannot, please contact the office.If you have any questions, please contact Tricia Fusilero, Executive Director, for assistance at support@laichicagoregion.org. Question Title * 1. What Is The Program Title? Question Title * 2. What Is the program description? Question Title * 3. Please upload a high resolution image (jpg or png) for use in promotional materials. Ensure LAI has permission to use the image i.e. the image is not copyright protected. Please send a square image with a 1:1 ratio. PNG, JPG, JPEG file types only. Choose File Choose File No file chosen Remove File Please upload a high resolution image (jpg or png) for use in promotional materials. Ensure LAI has permission to use the image i.e. the image is not copyright protected. Please send a square image with a 1:1 ratio. Question Title * 4. Indicate who should receive photo credit for the uploaded promotional image (i.e. photographer name, company, free image source, etc.) Question Title * 5. What is the date of this program? Date Date Question Title * 6. What is the start and end time for this program if different from monthly luncheon? Question Title * 7. If this not a luncheon event, please let us know the attendee capacity for your event. Question Title * 8. Please list the presenters' names. We provided four speaker spots based on past programs. For presenter slots not needed, please insert N/A. Presenter 1 Presenter 2 Presenter 3 Program Moderator Question Title * 9. Program location - If other than the Woman's Athletic Club, please provide name of organization and building address. Question Title * 10. Cost of program for members and nonmembers if different from a regular monthly luncheon. If this is not a regularly scheduled Luncheon event, please prepare and submit a budget with estimated expenses and revenue to the office at support@laichicagoregion.org. If you need assistance, please reach out to your committee chair. Question Title * 11. This program information is submitted by (your name): Question Title * 12. Please provide any other details that you would like included in the promotion of this event. Thank you for submitting your event information. If you have any questions, please do not hesitate to contact Tricia Fusilero at support@laichicagoregion.org. Submit