Please complete the sections below and click the SUBMIT button when finished.  Thank you.  [contact-form to=’diana.shipley@naifa-florida.org’ subject=’Relationship Manager Reporting’][contact-field label=’Liaison Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’/][contact-field label=’Local Association Visited’ type=’text’/][contact-field label=’Date of Visit’ type=’text’/][contact-field label=’Type of Contact’ type=’select’ options=’Phone,Email,Visit’/][contact-field label=’Individuals Present’ type=’textarea’ required=’1’/][contact-field label=’Membership Efforts (New members, Retention, Engagement, etc.)’ type=’textarea’ required=’1’/][contact-field label=’Volunteer Leader Development’ type=’textarea’ required=’1’/][contact-field label=’LILI Candidates’ type=’textarea’ required=’1’/][contact-field label=’Successes’ type=’textarea’ required=’1’/][contact-field label=’Areas of Concern and Support needed’ type=’textarea’ required=’1’/][contact-field label=’Other Notes of Interest (optional)’ type=’textarea’ optional=’1’/][/contact-form]