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2. Last Name*
3. First Name*
5. Email*
6. Phone Number*
8. Municipality of Residence

   The Ag Forum welcomes participants from anywhere. We kindly ask that you share the location of your farming operation (or place of residence) for statistical purposes.

10. Company Name (If Attending on Behalf of a Business or Organization)
12. Job Title
14. Dietary Restrictions
16. Help Shape the Presentation
    Survey Link

    To better tailor her succession planning presentation, Annessa Good-Hassard is offering an optional anonymous survey. Your input is welcome, but participation is not required.

18. Protection of Privacy Act

    The personal information collected through this form is for registration for the JEDI Ag Forum. This collection is authorized by Section 4(c) of the Protection of Privacy Act. For questions about the collection of personal information, please contact the County of Wetaskiwin Privacy Officer: email legislativeservices@county10.ca; telephone 780.352.3321; in person at 243019A Hwy 13, or send post mail to County of Wetaskiwin No., 10, Box 6960, Wetaskiwin AB, T9A 2G5.

    
    

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