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North Dakota Insurance Department
Jon Godfread, Commissioner
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Home > Contact us > Request a meeting
Request a meeting
Event request form
Invite the Commissioner to speak at your event in North Dakota or request a meeting with him.
* Organization making request 
* Contact person 
* Email address 
* Is this a request for a meeting with the Commissioner OR a request for the Commissioner to appear or speak at an event?
* Event date 
* Event time (start and finish) 
* Event location 
* Meeting/event background information 
* Organization members who will be attending 
* Specific topics to be addressed 
Is the event open to the public/media?
Other VIPs attending
Order of speakers/agenda
The following equipment will be available at the event:
Target audience
Number expected to attend
Time allotted for Commissioner to speak

North Dakota Insurance Department
600 E. Boulevard Ave.
Bismarck, ND 58505-0320
Phone 701.328.2440
Toll free 800.247.0560
Fax 701.328.4880

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