Speaker Request Form

This form is to request 2024 President, Tricia Nekota, CRS to speak at your meeting. Please fill out the form and provide all necessary information and we will do our best to accommodate it. However, submitting the form does not guarantee acceptance as it is based on availability.

Question Title

* 1. Requester Information:

Name *

State RRC Role

Email Address *

Question Title

* 2. Note: It is the States responsibility to cover travel/accomodation expenses for the speaker. To agree, please select Yes below.

Yes

No

Question Title

* 3. Event Name:

Question Title

* 4. Event Host:

Question Title

* 5. Event Type:

State RRC meeting

State Association of REALTORS Convention

Question Title

* 6. Date of Presentation:

Option 1

Date

Option 2

Date

Question Title

* 7. Time of Presentation:

Date / Time

Time

AM/PM

Question Title

* 8. Length of Presentation

Question Title

* 9. Event Facility:

Question Title

* 10. Event City:

Question Title

* 11. Event State:

Question Title

* 12. Audience Size:

Question Title

* 13. Additional Audience Info:

Question Title

* 14. Any additional information or special requests you would like to include, please provide below: