2026 Regional Meeting Registration Form (AGENTS)

2026 Regional Meeting (AGENTS)

This form is for NDIRF agents only. There is a separate form for members to register for the 2026 Regional Meetings.

Regional Meeting Dates & Locations(Required)

BISMARCK: July 30, 2026, from 8:30 AM - 12:30 PM CST

FARGO: August 6, 2026, from 8:30 AM - 12:30 PM CST

Choose the date and location you will attend

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

Role/Title(Required)

Agency(Required)

Agent License/National Producer Number(Required)

CE Requested? (ND ONLY)(Required)

Dietary Restrictions/Allergies

This event may feature a small breakfast or snack. Please indicate allergies and/or restrictions.