2026 DEALERSHIP MINDS SUMMIT REGISTRATION FORM

Eligible Attendees:
The Dealership Minds Summit provides a venue for RETAIL DEALERS of farm equipment to learn and share strategies for operating a successful business. Attendance is limited to retail dealers only. If you have questions about your eligibility to attend, please email us at info@farm-equipment.com, or call (866) 839-8455 or (262) 432-0388 to speak with a Customer Service Representative.

Select the Total Number of Attendees You Will Be Registering:*

If you have more than 10 total attendees to register, contact Luke Weigel (lweigel@lessitermedia.com / 262-777-2424)

1ST ATTENDEE

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Attendee Company*

Attendee Title*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

YesNo

Yes, I would like to receive a 1 year subscription to Farm Equipment as part of my registration.No, I do not want to receive a 1 year subscription to Farm Equipment.

To verify your identity and for our auditing purposes, please answer the following question. This will serve as your digital signature and is held in strict confidence. What is the first letter of the city you were born in?*

2ND ATTENDEE

Name*

First NameLast Name

Email*

example@example.com

Title*

YesNo

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Yes, I would like to receive a 1 year subscription to Farm Equipment as part of my registration.No, I do not want to receive a 1 year subscription to Farm Equipment.

3RD ATTENDEE

Name*

First NameLast Name

Email*

example@example.com

Title*

YesNo

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Yes, I would like to receive a 1 year subscription to Farm Equipment as part of my registration.No, I do not want to receive a 1 year subscription to Farm Equipment.

4TH ATTENDEE

Name*

First NameLast Name

Email*

example@example.com

Title*

YesNo

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Yes, I would like to receive a 1 year subscription to Farm Equipment as part of my registration.No, I do not want to receive a 1 year subscription to Farm Equipment.

5TH ATTENDEE

Name*

First NameLast Name

Email*

example@example.com

Title*

YesNo

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Yes, I would like to receive a 1 year subscription to Farm Equipment as part of my registration.No, I do not want to receive a 1 year subscription to Farm Equipment.

6TH ATTENDEE

Name*

First NameLast Name

Email*

example@example.com

Title*

YesNo

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Yes, I would like to receive a 1 year subscription to Farm Equipment as part of my registration.No, I do not want to receive a 1 year subscription to Farm Equipment.

7TH ATTENDEE

Name*

First NameLast Name

Email*

example@example.com

Title*

YesNo

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Yes, I would like to receive a 1 year subscription to Farm Equipment as part of my registration.No, I do not want to receive a 1 year subscription to Farm Equipment.

8TH ATTENDEE

Name*

First NameLast Name

Email*

example@example.com

Title*

YesNo

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Yes, I would like to receive a 1 year subscription to Farm Equipment as part of my registration.No, I do not want to receive a 1 year subscription to Farm Equipment.

9TH ATTENDEE

Name*

First NameLast Name

Email*

example@example.com

Title*

YesNo

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Yes, I would like to receive a 1 year subscription to Farm Equipment as part of my registration.No, I do not want to receive a 1 year subscription to Farm Equipment.

10TH ATTENDEE

Name*

First NameLast Name

Email*

example@example.com

Title*

YesNo

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Yes, I would like to receive a 1 year subscription to Farm Equipment as part of my registration.No, I do not want to receive a 1 year subscription to Farm Equipment.

PAYMENT INFORMATION*

Confirm Total Number of Attendees

Must Match What Was Selected At Top of Form

$549.00

Enter coupon

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Please verify that you are human*