Speaking Engagement Request

Speaking Engagement Request

    As part of NJAR®'s goal of bringing the most up-to-date information and to increase our availability to the membership, the NJAR® Leadership Team and/or staff are available upon request to speak/attend the local board/association events.

    Upon receipt of your speaking engagement request form, NJAR® staff will contact you to notify you if the member of the NJAR® Leadership Team and/or staff you have requested are available. If there is a scheduling conflict, NJAR® will make every attempt to fulfill your request.

Requestor Information

Name:
Title:
Board/Association/Company:
Address:
City:
State:
Zip Code:
Business Phone: - - ext.
Business Fax: - -
E-Mail Address:
Requested Speaker:

Event Information

Event Description:
Requested Speaking Topics:
Size of Audience
Dress Attire:
Date of Event: / /
Time of Event:  
  Start: :
  End: :
Address:
City:
State:
Zip Code: