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2019 Entry Form - Local Food Directory for Local CSA Farmers
Entry form for Local CSA Farmers - if you are not a CSA Farm please return to the BW-Greenway website and select the appropriate input form.
CSA Farm Name *
Your answer
Street Address
Your answer
City
Your answer
State (e.g. OH)
Your answer
Zip Code (5 digits)
Your answer
County *
Check your county from the list
Preferred Phone Number
Enter phone number as xxx-xxx-xxxx with no spaces
Your answer
Alternate Phone Number
Enter phone number as xxx-xxx-xxxx with no spaces
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
Preferred method of customer contact
Privacy Options
B-W Greenway needs your contact info but will not include it in the directory if you check it here.
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