Submitting this form does not guarantee selection, the SACRS Program Committee will contact you if your speaker is selected to present at a SACRS Annual Spring or Fall Conference. Thank you for your interest in SACRS!

Question Title

* 1. Speaker Full Name:

Question Title

* 2. Company:

Question Title

* 3. Business Phone:

Question Title

* 4. Email:

Question Title

* 5. Brief Bio in Paragraph Format:

Question Title

* 6. Topic: (Sample Topics: Investment, Operational, Motivational, Disability, Global, National, Health Care, Economy, Trustee, Real Estate, Credit, Inflation, Stategic, Asset Class, Actuarial, IRS, GASB, PBGC, Political, Trustee, Campaign, etc.)

Question Title

* 7. Session Title:

Question Title

* 8. 25 Words or Less Synopsis:

Question Title

* 9. Will your speaker be requesting an honorarium or fee for presentation? If yes, enter dollar amount:

Question Title

* 10. Form Submitted by: (Include Name, Phone # and Email)

T