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TRS Event Attendance Request Form

Are you planning an event?

You can submit a request for a BCBSTX representative to attend. Please submit this form at least six weeks before your event date to allow enough time to fulfill your request. If your event is in less than six weeks, we will do our best to accommodate you.

Once the form is submitted, a BCBSTX representative will respond by email or phone within 72 hours. If you don’t hear from a BCBSTX representative within this time frame, please email us immediately at BCBSTX_TRSAmbassadorTeam@bcbstx.com.

An asterisk (*) indicates a requiredfield.

Requester Information

District name*

TRS district number

TRS region number*

TRS district contact*

District contact phone number* 1- Please enter a valid phone number

District contact email address*

District contact preferred communication* Phone
Email

Event Information

Event date and time*

Approximate number of attendees*

Type of event

Event location*

Event room number/name

Event address and attn.*

Event city*

Event state*

Event ZIP code* Please enter a valid zipcode

Who is the primary audience? District employees
Benefits administrators

Are you able to accept shipments of event materials in advance via UPS?* Yes
No

Event materials shipping address and attn, if applicable

Is there any other information you'd like to share about your request?