Community Conversation Panelist Registration

Panelist Registration

Please fill out this this form to register as a speaker for the conference. This form will allow you to add lunches and a guest registration, if you so choose. All registrations are valid for the in-person and virtual portions of the conference. If you choose to purchase any items, OEFFA will email you an invoice on February 7.
First Name
Field is required!
Field is required!
Last Name
Field is required!
Field is required!
Ohio county for name badge
County
Field is required!
Field is required!
Please provide the email you wish to use for accessing the online conference platform. Each registration must include a unique email address.
Email Address
Field is required!
Field is required!
Bio:
Please provide a brief bio...
Field is required!
Field is required!
Complimentary Lunch
In-person speakers receive complimentary lunch on the day that they speak. Please select a lunch option.
  • - select a option -
  • Standard Buffet Meal
  • Vegetarian Buffet Meal
  • Gluten Free/Vegan Plate
  • No Lunch
- select a option -
Field is required!
Field is required!
Additional Lunch
If you wish to eat lunch both days, you can purchase the additional lunch for $21.
  • - select a option -
  • Standard Buffet Meal ($21)
  • Vegetarian Buffet Meal ($21)
  • Gluten Free/Vegan Plate ($21)
  • No Lunch
- select a option -
Field is required!
Field is required!
Upload Signed Agreement
Please upload your electronically signed agreement here. By uploading your signed agreement you confirm that you have read, understood, and accept the terms.
Upload your documents...
Field is required!
Field is required!
Upload Headshot
Please upload a picture of yourself for your speaker profile on the conference app. The image does NOT need to be high resolution.
Upload your documents...
Field is required!
Field is required!

Guest Registration ($60)

Speakers can register a guest for the reduced rate of $60.
Field is required!
Field is required!
Registration 2: First Name
Field is required!
Field is required!
Last Name
Field is required!
Field is required!
Company/Organization (if different from your own)
Field is required!
Field is required!
Each registration must include a unique email address
Email Address
Field is required!
Field is required!
Friday Lunch
  • - select a option -
  • Standard Buffet Meal ($21)
  • Vegetarian Buffet Meal ($21)
  • Gluten Free/Vegan Plate ($21)
  • No Lunch
- select a option -
Field is required!
Field is required!
Saturday Lunch
  • - select a option -
  • Standard Buffet Meal
  • Vegetarian Buffet Meal
  • Gluten Free/Vegan Plate
  • No_Lunch
- select a option -
Field is required!
Field is required!

OEFFA
Ohio Ecological Food and Farm Association
41 Croswell Rd.
Columbus OH 43214

oeffaoeffaorg

OEFFA:(614) 421-2022 (614) 421-2022
OEFFA Certification:(614) 262-2022 (614) 262-2022