Meeting Request Form

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Submitting a Request

When requesting a member of the PAR leadership team or staff, please complete the form in its entirety. If a request is made less than 60 days in advance, we cannot guarantee that a member of the leadership team will be available. Completing and submitting this form does not guarantee the availability of the officer/staff being invited to attend your event. Complete a separate request for each event or meeting.

If you have questions about the form or your submission, contact Kim Smith.

All fields are required. Your request will not be submitted if a response is missing. A successful submission will display a confirmation message and send a confirmation email to the provided address.

Your Name(Required)

First Last

Local Association(Required)

Email(Required)

Requested Attendance

Provide as much detail as possible about the people you are requesting to attend your event. When requesting a member of the PAR leadership team, we ask that you provide 10-15 minutes for them to speak to your attendees.

Who are you requesting?(Required)

If you want both leadership and staff, select Both.

Leadership (first choice)(Required)

Provide a specific name. Typically, only one member of the leadership team will attend. They may be accompanied by the DVP for in-person events.

Leadership (second choice)(Required)

If your first choice is unavailable, who is your second choice?

PAR Staff(Required)

Which department or staff would you like to request? (Legal, communications, professional standards, etc.) Be as specific as possible.

Role of the Attendee(s)(Required)

Attend the event

Introduce a speaker

Host a ceremony

Give presentation

What is the role of each participant?(Required)

Provide as much detail as possible.

Event Information

Please provide as much detail as possible.

Event Title(Required)

Event Location(Required)

Street Address Address Line 2 City State ZIP Code

Event Date(Required)

Please choose a date at least 60 days in the future.

Month

Day

Year

Event Format(Required)

How will the requested person be participating in the event?

In-person

Virtual

Event Type(Required)

Breakfast

Luncheon

Dinner

Installation

Awards ceremony

General membership meeting

Board meeting

Coffee talk

Podcast

Panel or forum discussion

Other

Event Start Time(Required)

Hours

Minutes

AM/PM

Specific Time of Participation(Required)

Enter the exact time the requested parties need to participate.

Hours

Minutes

AM/PM

Length of Speech or Presentation(Required)

(max of 15 minutes)

Please enter a number less than or equal to 15.

Day-of Contact Person(Required)

First Last

Day-of Contact Person's Phone Number(Required)

Panel or Forum Participants(Required)

Provide all names and companies of other participants.

Requested Topic(Required)

What would you like the requested attendees to discuss?

Member benefits

Legal update

Communications

Professional standards

Local leadership training

Additional Topics Requested

If your topic is not listed above, please add it here.

What specific issues or concerns would you like the attendee to address?(Required)

Audience Composition(Required)

Agents

Brokers

Affiliates

Association staff

Government officials

Public / consumers

About how many people are expected to attend this event?(Required)

Less than 25

26-50

51-100

More than 100

Is there a registration form that each attendee must complete in order to attend?(Required)

Provide all important information including the link to a registration page.

Provide additional information about the event including dress code, distinguished guests, fundraising efforts, parking requirements, etc.(Required)

Additional Information

If a leadership member arrives the evening prior to an event, would you, your leadership or others be willing to meet for dinner?(Required)

Yes

Maybe

Dinner Locations(Required)

Provide details or options for dinner locations.

If PAR's CEO attends, can they meet with your brokers/managers prior to the main event or immediately following the event?(Required)

Yes

Maybe

Meeting with Brokers/Managers(Required)

Please provide some details.

Suggestions for Hotel Accommodations(Required)

Provide names and phone numbers for accommodations near the event location.

Are you looking for...

Submitting a Request

Requested Attendance

Event Information

Additional Information

We Want To Hear From You!