System Generated Field Panel 

 Author Entered Field Panel

Author Input Panel - Required fields

Form Title  Panel

End-user Entered Field Panel

If you are requesting a fair for more than one location please submit a separate request form. If you are requesting a multiple day event, please provide additional date and time detail in "Dates/Times for Additional Benefit Fair Days" text area.

* Required Fields

Agency Information

Benefit Fair Information

* Benefit Fair Date

* Benefit Fair Start Time

* Benefit Fair End Time

Dates/Times for Additional Benefit Fair Days

Shipping Address

MetLife will ship materials to this event. You do not need to order them.

Special Requests

Submission of this request does not guarantee representation at your agency's benefit fair. If you have any questions, please email

MetLife respects your Privacy

Thank You/Error Panel Configuration

Option One/Two Configuration


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Thank you

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Option Three Configuration

Hidden Panel