AMA Board of Trustees Speaker Request Form

2 Min Read

To request a member of the AMA Board of Trustees to speak at your upcoming event, please complete and submit the form to help us make the most informed decision about your request.

Board of Trustees Speaker Request

Request a member of the Board of Trustees to speak at an upcoming event.

Terms and conditions

You will receive an acknowledgment of your request within 24-48 business hours after receipt of your completed form.

By submitting this form, you certify that the information provided is complete and accurate to the best of your knowledge. You understand that a representative from the AMA Board Representation Office will contact you to discuss the approval/confirmation process, as well as arrangements and costs involved prior to final commitments. You also understand that operational commitments/organizational priorities may take priority and can preclude a scheduled appearance at an approved activity, in such an instance, a replacement will be offered. Additionally, an effort will be made to honor speaker preferences indicated in the request; however, it will be one of several important considerations in our decision-making process, and AMA retains the right to select/offer alternate leader at the discretion of the board chair.

Upon prior approval of use, in a case where you plan to use the trustee's image and/or AMA logo, you must submit a request and proofs of materials to this office for approval, prior to final printing.

If you have any questions, please send an email to: [email protected].

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