AGTECH 2018 REGISTRATION FORM

SPEAKER VERSION


DateWednesday, February 28, 2018

LocationI-Hotel and Conference Center, Champaign

For more infomation about AgTech Summit

PERSONAL INFORMATION
First Name
Last Name
Email Address
Phone Number
Mailing address
Please indicate any dietary restrictions. We will do our best to accommodate.
Are you a speaker?    
SPEAKER
Please provide us with a short bio that includes information about how your current position relates to the topic. Also include if you are an Illinois alumnus and your twitter handle. (Character Limit: 255)
If you are a speaker, please upload a head shot/profile photo:
UPLOAD
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ORGANIZATION
Are you a full-time student?    
University
Department
Organization or Company Affiliation
Title or Role