General Ranch Information

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Email *

Your First Name *

Your Last Name *

Ranch Name *

Include all associated business entities, as applicable

Ranch Phone Number ########## *

No dashes or parentheses, please!

Ranch Owner First Name *

Ranch Owner Last Name *

Ranch Manager First Name *

Ranch Manager Last Name *

Are you the contract decision maker for the ranch?

Yes

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Ranch Business Mailing Address — Street Address *

Ranch Business Mailing Address — City *

Ranch Business Mailing Address — State Code (e.g. MT) *

Ranch Business Mailing Address — Zip Code *

Ranch Physical Location — Street Address *

If different than the business address

Ranch Physical Location — City *

If different than the business address

Ranch Physical Location — State Code (e.g. MT) *

If different than the business address

Ranch Physical Location — Zip Code *

If different than the business address

Who referred you to our program?

Total Ranch Acres (include deeded and leased) (# only please) *

Deeded Acres Total (# only please)

Leased Acres Total (# only please)

Federal Lease Acres Total (# only please)

State Lease Acres (# only please)

Private Lease Acres (# only please)

Conservation Easement Acres (# only please)

Number of Years Ranch in Operation *

Ranch Operation Type

Beef Market (If Applicable)

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