Welcome Land O'LakesEvent request form Name of event * Event location * Event state/ prov. code AL - Alabama AK - Alaska AZ - Arizona AR - Arkansas CA - California CO - Colorado CT - Connecticut DE - Delaware FL - Florida GA - Georgia HI - Hawaii ID - Idaho IL - Illinois IN - Indiana IA - Iowa KS - Kansas KY - Kentucky LA - Louisiana ME- Maine MD - Maryland MA - Massachusetts MI - Michigan MN - Minnesota MS - Mississippi MO - Missouri MT - Montana NE - Nevada NH - New Hampshire NJ - New Jersey NM - New Mexico NY - New York NC- North Carolina ND - North Dakota OH - Ohio OK - Oklahoma OR - Oregon PA - Pennsylvania PR - Puerto Rico RI - Rhode Island SC - South Carolina SD - South Dakota TN - Tennessee TX - Texas UT - Utah VT - Vermont VA - Virginia WA - Washington WV - West Virginia WI - Wisconsin WY - Wyoming Business unit * Animal Nutrition (Purina) Corporate Dairy Foods Nutra Blend Supply Chain Truterra WinField United OTHER Land O' Lakes Cost Center * If you selected "OTHER" above, what business unit is the event for? How many days is your event * * Event start date * MM DD YYYY Event end date * MM DD YYYY Total estimated # of attendees * Planner name * First Name Last Name Planner email * Planner phone number * Phone number of invoice contact (###) ### #### Does your event require shipping of at-home COVID tests to attendees? * YES NO If yes, how many at-home test kits do you expect to send? Date of your COVID-19 test to be delivered to attendees at their shipping address? **Please provide the attendee list with shipping details (name, full address & phone) at least 3wks prior to event to amanda@attendsafe.app MM DD YYYY Any other details about the event? Thank you!