INFB Event Speaker Information

General Information

First Name:

Last Name:

Job Title:

Employer:

Phone Number:

Email Address:

Program Information

Brief bio (3-5 sentences) for introduction purposes:

Title of Session:

Description of Session:

Technology/Audiovisual Needs:

Projector and screen
Handheld, wireless microphone
Lapel microphone
Podium
Wireless presenter/pointer
None
Other...
This choice will expand a text box

I understand that I am responsible to provide my own laptop, if applicable

Accommodations, Guests and Travel

Please indicate your overnight accommodation needs, if applicable. If multiple nights are needed, select all that apply:

Friday, Feb. 7

Saturday, Feb. 8

No accommodations needed

Will you be traveling to Indiana by airplane?

Do you plan to join us for lunch on Saturday, Feb. 8?

Guest name, if applicable:

Will your guest be joining us for lunch on Saturday, Feb. 8?

Have you requested payment from INFB for your services as a presenter?

Do you have any special requests?

225 South East St. Indianapolis, IN 46202
P.O. Box 1290 Indianapolis, IN 46206
(800) 327-6287

Copyright © 2024 Indiana Farm Bureau®, Inc. is a member of the American Farm Bureau Federation®, a national organization of farmers and ranchers including Farm Bureau® organizations in 49 other states and Puerto Rico, and is responsible for Farm Bureau membership and programs within the State of Indiana.