December 2023 Regional Event Host Application
Person Submitting Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Regional Event Host Company
Company Name
*
Please list any other companies that will be hosting with you:
Would you be interested in hosting with another company if you're not already (another company on the Affiliates Council, NAEM corporate member or both)?
Yes - Corporate Member Only
Yes - Affiliates Council Member Only
Both
No
Location, City, Date & Time of Regional Event & Networking Event
Location City
*
Proposed Date of Regional Event (We recommend December 7 so it coincides with our Impact event but are open to another date in December 2023)
Proposed Start and End Time of Regional Event
Other Logistical Details
If you’re approved to host a networking event, we will require that you provide a schedule for the event by October 9. You’ll have the option to play one or both of the sessions from the Impact December agenda at your event. You’ll also have the option to lead one or both of the breakout sessions on the Impact December agenda at your event. Please email any questions to sales@naem.org.
Please verify that you are human
*
Submit
Should be Empty: