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Loop Resource - I want to get involved!
Food Diversion Program
First name: *
Your answer
Last name: *
Your answer
Phone Number *
(Ten digits, no dashes or spaces: 2501231234)
Your answer
Physical Address - (Optional)
This helps us place you on a map, and contact the most likely farms first so that you are not bothered needlessly!
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Email Address *
We will not publish your email, or share it. We will contact you at this address to keep you in the loop on our activities in your area!
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Province (or Country) *
Nearest Town, or Towns: (City region, if you are in a city) *
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Animals that you have:
Describe your farm: (Optional)
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How did you hear about us?
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