State Conference and Materials Request Form

ACTE is excited to share the opportunity for States to have an ACTE representative attend your upcoming conference.

We have updated the State/Region Conference Request Form to hopefully capture all the information we need here at ACTE in preparing our representative to attend and what ACTE materials you might want for your conference. Please fill out the form and submit.

Name(Required)
Email(Required)

Event Information

MM slash DD slash YYYY

Information for ACTE Representative

MM slash DD slash YYYY
Please select what you would like the ACTE representative to provide(Required)
Topic (briefly describe the topic(s) you would like addressed in the presentation and check all boxes that apply)
Expenses: What expenses are covered by your organization?(Required)

Information for ACTE Materials

We are delighted to offer the standard package of the following materials.

We will print and ship 10 of each checked piece. If you would like additional quantities, please note quantity with the name of marketing piece in the field below (i.e., 25 ACTE membership brochures)
Address for shipping materials:(Required)
MM slash DD slash YYYY