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 diya-ram@nacdnet.org.
Email address *
Contact Name *
Your answer
Contact Phone Number *
Your answer
Event Name *
Your answer
Event Organizer (District/State Association/Organization/Company Name) *
Your answer
Event Location (please include city and state) *
Your answer
Event Date(s) and Time *
Your answer
Specific Topics You'd Like Addressed?
Your answer
Preferred Officer? *
Required
Preferred NACD Staff Member? *
Required
Are any costs covered? *
Required
What costs do you anticipate for NACD? This can include any costs from the question above that are not covered, meals, tours, etc. *
Your answer
Additional information
Your answer
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