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2019 Entry Form - Local Food Directory for Groceries selling local food
Entry form for Groceries that sell locally grown produce, fruits and grains. "Local food" is defined as food produced and consumed in our foodshed which is comprised of the eighteen counties of the Great Miami and Little Miami watersheds. If you are not a Grocery please return to the BW-Greenway website and select the appropriate input form
Grocery Name *
Your answer
Grocery Street Address
Your answer
City
Your answer
State (e.g. OH)
Your answer
Zip Code (5 digits)
Your answer
County *
Select county from list below
Preferred Phone Number
Please enter as xxx-xxx-xxxx
Your answer
Alternative Phone Number
Please enter as xxx-xxx-xxxx
Your answer
Email Address
Your answer
Website
Your answer
Facebook Name
Your answer
Primary Contact Person - First Name *
Your answer
Primary Contact Person - Last Name *
Your answer
Secondary Contact Person - First Name
Your answer
Secondary Contact Person - Last Name
Your answer
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