NACD Speaker Request Form
Looking to invite a representative from NACD's leadership or staff to your state or district meeting? Please fill out the following form and indicate if you have a preferred officer or staff member in mind. Please note: NACD may not be able to accommodate all requests for in-person presentations. Questions? Contact NACD Executive Assistant Diya Ram at
Contact Phone Number
Event Organizer (District/State Association/Organization/Company Name)
Event Location (please include city and state)
Event Date(s) and Time
Specific Topics You'd Like Addressed?
President Tim Palmer
First Vice President Michael Crowder
Second Vice President Kim LaFleur
Secretary-Treasurer Ian Cunningham
Immediate Past President Brent Van Dyke
CEO Jeremy Peters
I am not requesting an officer's presence at this meeting
Preferred NACD Staff Member?
My NACD Region Representative
Government Affairs Team Member
Communications Team Member
Membership Team Member
Development Team Member (includes Stewardship and Education)
I am not requesting a staff member's presence at this meeting
Any Costs Covered? (Registration, Lodging, Transportation, None)
Send me a copy of my responses.
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