Speaker Request Form

 
Members of the Foundation Boards and Staff are often available to speak to groups with an interest in valuation. If you are interested in requesting a speaker, please complete the form below and a staff member will contact you to confirm availability.
 
 
 
Select a Board:
 
Member Name:
 
Contact Name (First and Last):
 
Contact Email:
 
Organization:
 
Address:
 
City, State ZipCode:
 
Phone (xxx-xxx-xxxx):
 
Event Name:
 
Location (City, State)
 
Date(s)
 
Times(s)
 
Purpose of the Event:
  Topic of Proposed Speech:
 
Number of Expected Attendees:
 
Other Speakers:
 
Are you willing to pay speaker expenses?
 
Are you willing to pay speaker's honoraria? ($300 for half day; $600 for full day)