Search | Minnesota Department of Agriculture

Thank you for agreeing to speak at our conference.

Complete the first part of the form with information to be included in public program materials.
Complete the second part with details for the conference planners.

* Indicates required field

For publication in conference materials

Name

As you want it listed in the conference program.

Position or title

Farm or organization name

Phone

Website

Biographical information for conference materials

Session #1 information

Suggested session title #1

Session description #1

Help us "sell" your session to attendees.

Session #1 co-presenter name(s) and email(s), if any

Session #1 co-presenter name(s) and email(s), if any
Session #1 co-presenter name(s) and email(s), if any

Add another session?

Yes

Session #2 information

Suggested session title #2

Session #2 description

Help us "sell" your session to attendees.

Session #2 co-presenter name(s) and email(s), if any

Session #2 co-presenter name(s) and email(s), if any
Session #2 co-presenter name(s) and email(s), if any

Mailing address

City

State

Zip Code

Cell phone number

For internal use. Not included in conference program, unless you provided above.

Email address

For internal use and to receive a copy of your submission. Not included in the conference program.

Days you expect to attend

To help us with meal planning.

Thursday

Friday

Both

Phonetic pronunciation of your name

Dietary restrictions, if any

Other accomodations needed, if any

Pronouns you use