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MBA Speaker Request Form
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Denotes required fields.
Requested Speaker:
*
- Select One -
Robert D. Broeksmit, CMB - President and CEO
Marcia Davies - Chief Operating Officer
Deborah Dubois - President, MBA Opens Doors Foundation
Kristy W. Fercho - Vice-Chairman
Dan Fichtler - Associate Vice President of Housing Finance Policy
Michael Fratantoni, Ph.D - Chief Economist, Senior Vice President, Research & Industry Technology
Lisa Haynes - CFO and Chief D&I Officer
Joel Kan - Associate Vice President, Economic & Industry Forecasting
Bill Killmer - Senior Vice President of Legislative & Political Affairs
Tamara King - Vice President, Residential Policy and Member Engagement
William Kooper - Vice President, State Government Affairs & Industry Relations
Tricia Migliazzo - Vice President, Member Engagement
Pete Mills - Senior Vice President, Residential Policy & Member Engagement
Steve O'Connor - Senior Vice President, Affordable Housing Initiatives
Jeffrey M. Schummer, CMB - Vice President of Education Business Development
Susan Stewart - Chairman-Elect
Krystal Thomas - Government Programs Specialist
Marina B. Walsh - Vice President of Industry Analysis
Jamie Woodwell - Vice President of Commercial/Multifamily Research
Date & Time of Speaking Engagement:
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Name of Organization:
*
Name of Event:
*
Is the organization an MBA member? :
- Select One -
Yes
No
Have you previously had an MBA speaker? If so, who?:
Contact Name:
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Contact Office Phone:
Contact Mobile Phone:
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Contact Email:
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Event Demographics
In person or virtual?:
- Select One -
In Person
Virtual
In Person Event Details
Who is Attending? (Select All that Apply):
Executives
Originators
Servicers
Loan Officers
Brokers
How many attendees at the event? :
How many attendees at this session? :
Website of Event:
Location (Address & Room) of Event:
Attire for Event:
Is there travel expense coverage (hotel, airfare, taxis, etc.):
Format and Duration: Keynote, Panel, Q&A (please be as specific as possible):
Topic:
Who will introduce speaker(s)? (Name and Title):
Will the speaker be swearing in new MBA Officers? (State MBAs only):
Virtual Event Details
Technical platform/requirements?:
- Select One -
Yes
No
Live, recorded or both?:
- Select One -
Live
Recorded
Both
Please check this box:
*