Leadership Request Form

ACOFP VIP Name^*

Meeting Name

Meeting Date

Hotel Name

Hotel Address

Hotel Phone

Hotel Accomodations

Ground Transportation

Contact Person

Contact Person Cell

Will AV be available?^*

Will video be able to be played?^*

Person 1

Person 2

Person 3

Person 4

Name of outgoing president:

Name of incoming president:

Type of Audience (FPs, other)

Number Expected

Is there any particular topic would you like the presenter to speak on? Can you share more about the audience?