Section I. Basic Information
Contact's Full Name
Title
Association Name
Address - Line 1
Address - Line 2
City
State
Please select Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland and Labrador North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Sasketchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon
Zip code
Phone Number
Fax Number
Email Address
Website
Disclaimer
Number of brochures requested (Minimum=100, Maximum=Membership Total)
Date materials are needed (Please note, we need at least 20 business days to comfortably meet your deadline. PLEASE MAKE SURE THERE IS AMPLE TIME TO MEET YOUR DEADLINE.)
Please explain, briefly, the specific use of the materials and how they will be distributed.
Section II. Financial Information
Please list the following information for all the years listed
2016
2016 Association Membership
2016 Number of Investors
2016 Participation Rate
2016 Total Hard Receipts
$
2016 Total Soft Receipts
$
2016 Overall Total Receipts
$
What is your RPAC state-assigned fundraising goal for 2016?
$
What goal was set by your state or local board?
$
How many members of NAR's Major Investor Recognition Program do you have?
President's Circle
Platinum "R"
Golden "R"
Crystal "R"
Sterling "R"
Section III. Design Your Brochure
Choose one of the following brochure designs. (You can click on a thumbnail image to view the brochure PDF.)
Design 1: "Join The Team Brochure"
Design 2: "Join The Team Insert"
Design 3: "RPAC Is Your Resource Tri Fold Brochure"
Design 4: “RPAC Is Your Resource Insert”
Address to print on brochures:
OPTIONAL: List the local issues you want to have on your brochures. (If you do not have your local issues, we will include national and state issues here.)
Agreement
By submitting this form, my association agrees that RPAC and federal issues content must be included as part of the marketing materials.
Please review all areas of this document and make sure that all the information is correct. Then click the Submit button below.