How to Complete This Form
If you are nominating a farmer to attend the Global Farmer Roundtable, please provide your contact information below (Page 1 of 2) so we know how we can contact you if we have any questions.
After completing the information below, then click "NEXT PAGE" and provide details for the nominee on page 2. (If nominating yourself, you will still need to complete both page 1 and page 2). Both pages are required in order for the system to finalize the nomination.