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Change Food Fest Speaker Application 2016

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Name * First Last Email * Title * Organization or Company * Address City State / Province / Region Postal / Zip Code Country Phone Number * ### ### #### Name of Assistant or Other Contact First Last Email of Assistant or Other Contact The theme of the Change Food Fest is on positive change happening with food and our food system, as well as new businesses and investment money coming into the food space. We will be focusing on both real and visionary change. What would your talk be about? * How does it fit in with the overall theme of the festival? * We are planning to have talks on both Friday and Saturday. Friday will focus more on business and investment money, which Saturday will focus on positive change. Do you want to speak at (you cannot speak at both): * Either Saturday, Real change happening Friday, Investment and start ups We cannot guarantee at this time that we will be able to cover travel costs. Are you willing to speak if you have to provide your own transportation and lodging to the event? * Unsure Yes No Please provide links to any of your videos and talks. How did you hear about the Change Food Fest? Please add anything else you feel relevant, or let us know any ideas or suggestions you have for the event. I would like to receive updates and news from Change Food. * Yes No Unsure Do Not Fill This Out

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