NAR Senior Vice President Meeting Request

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NATIONAL ASSOCIATION OF REALTORS®
SENIOR VICE PRESIDENT (SVP) MEETING REQUEST
Completion and submittal of this request does not guarantee a Senior Vice President's attendance at your meeting/event. Please fill out a separate request for each event which requires Senior Vice President participation. You must complete this form listing ALL of the meetings and activities you wish the Senior Vice President to attend when you initially submit your request. Remember no additional meetings or activities may be added to the Senior Vice President's itinerary after the request has been accepted. We're sorry, but no exceptions to this policy are permitted. Questions about individual Senior Vice Presidents should be directed to each SVP's executive assistant, whose contact information can be found at the bottom of this form.

(

indicates a required field)

Requester Information

Today's Date:

01/12/2013

First Name:

Last Name:

Title:

Association/
Department:

Address:

City:

State:

Zip Code:

Business Phone:

Business Fax:

Email Address:

Event Name:

Type of Event (check one box):

Local Realtor Association Event
Regional Realtor Association Event
State Realtor Association Event
Annual Convention
Board of Directors
Leadership Conference
Business Meeting
NAR REALTORS® Conference & Expo
NAR Midyear Legislative Meetings
NAR Leadership Summit
NAR Government Affairs January Meetings
Other NAR-Sponsored Event
Other

If Other

, please describe:

I. Senior Vice President Request Information

Senior Vice President being requested:

Name:

Exact date(s) the Senior Vice President is invited to participate (in mm/dd/yyyy format):

From:

To:

II. Contact Information

Same as Requester Contact Information

First Name:

Last Name:

Title:

Business Phone:

Business Fax:

III. Meeting/Event Specifics

Name of facility where meeting is being held:

Address:

City:

State:

Zip Code:

Phone:

Location is a... (check one):

Hotel
Convention Center
Board and/or State Offices
Other

If Other, please describe:

IV. Speaker Logistics

Date of Senior Vice President's remarks (mm/dd/yyyy):

Event Start Time (hh:mm am/pm):
Event End Time (hh:mm am/pm):

Time Senior Vice President's remarks begin (hh:mm am/pm):

How long does the Senior Vice President have to speak?

Tell us about the Audience:
REALTORS®
Association Executives
Politicians (local/state/national)
Foreign Dignitaries
Other

If Other, please describe:

Audience size (check one):
Less than 25
25-50
51-100
101-150
151-200
200+

Type of remarks (check all that apply):

Keynote Address
Town Hall Discussion
Panel Moderator
Panelist
Other

If Other

, please explain:

If the Senior Vice President will be participating on a panel, please list the names and affiliations of the other participants.

*Please provide agenda and correct pronunciation of names.

Would you be willing to have the Senior Vice President participate via videoconference?
Yes No

Will a DVD be used?
Yes No

Is PowerPoint expected?
Yes No

Will there be Q & A?
Yes No

What topic(s) would you most like the Senior Vice President to cover (check all that apply)?

Commercial
Communications/Publications
Economic Outlook/Research
Governance
Human Resources
International
Leadership Development
Legal
Member Services and Business Development
Political Issues/Advocacy
Technology

Special Instructions/Requests:

V. Travel Plans

	The requesting association is responsible for reserving the appropriate lodging. When reserving a hotel room for NAR staff, please ensure that it is guaranteed for late arrival.
	NAR staff will handle their own air and ground transportation reservations. (Expenses will be reimbursed by the requesting association.)

Please provide any questions or comments below:

Note: Before clicking the "Submit Information" button below, please print a copy of this Senior Vice President request for your records. If you experience technical difficulties in submitting this form, please print it and fax it to the Senior Vice President's Executive Assistant (see above).

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Headquarters: 430 North Michigan Avenue, Chicago, IL. 60611-4087
DC Office: 500 New Jersey Avenue, NW, Washington, DC 20001-2020
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