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Completion and submittal of this request does not guarantee an Officer's attendance at your meeting/event. Please fill out a separate request for each event which requires Officer participation. You must complete this form listing ALL of the meetings and activities you wish the Officer to attend when you initially submit your request. Remember no additional meetings or activities may be added to the Officer's itinerary after the request has been accepted. We're sorry, but no exceptions to this policy are permitted. Questions regarding this form should be directed to Carl Jackson at cjackson@realtors.org.

Requester Information
Today's Date:09/27/2016Required fields
First Name:
Last Name:
Association / Organization:
Zip Code:
Email Address:

Officer and Event Information
Officer Name:
Alternate Choice:
Is this for an REALTOR Association-sponsored event?
If so, which type of meeting?
If "Other," please specify:
If this is not an association event, who is the sponsor?

Event Name:
Event Location:
Event Start Date:
Event End Date:
Does the officer need to speak?
Date of Officer's Remarks:
Remarks Start Time:
Remarks End Time:
How long will the office need to speak?
What topics would you like the officer to cover?
Please describe the officer's non-speaking roles at your event (meet and greet, check presentation, attendance, etc.):
Will any media be present at this event?
Please provide any questions or comments below:
Carl Jackson
Scheduler, Leadership Team
National Association of REALTORS®
500 New Jersey Ave., NW, Washington, DC 20001
Phone: 202-383-7536
Email: cjackson@realtors.org

Tammy Sebben
Executive Assistant to the CEO
National Association of Realtors®
430 N. Michigan Ave., Chicago, IL 60611
Phone: 312-329-8418 Fax: 312-329-5962
Email: tsebben@realtors.org

Please Note: If you do not receive a confirmation email with the first 24 hours after submission, stating that your request has been received, then we have not received your request. Therefore, please re-send a new request form or fax the request to the Officers' Scheduler.

Note: Before clicking the "Submit Request" button below, please print a copy of this Officer request for your records. If you experience technical difficulties in submitting this form, please contact Carl Jackson or Tammy Sebben, as appropriate.