Speaker's Bureau Reimbursement Request Form For State Associations
All state associations who go through the NAA for a speaker for their conventions will receive a reimbursement up to $600 for speakers. Please allow up to two weeks for checks to arrive.
Association Name
*
Association Contact Name
*
First Name
Last Name
Speaker Name
First Name
Last Name
Who should check be made out to?
*
Whose attention should we direct the check to?
Address check will be sent to:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Receipts
*
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