Registration Form Due by January 24, 2018.

What is your first name?

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* 1. What is your first name?

What is your last name?

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* 2. What is your last name?

What is your email address?

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* 3. What is your email address?

What is your cell phone number?

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* 4. What is your cell phone number?

Can we send you information via email & text?

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* 5. Can we send you information via email & text?

What questions would you like to submit for our Ag panel?
(Questions will be answered during the Q&A session)

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* 6. What questions would you like to submit for our Ag panel?
(Questions will be answered during the Q&A session)

Which event will you be attending?

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* 7. Which event will you be attending?

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