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2019 Entry Form - Local Food Directory for Local Non-CSA Farmers
Entry form Local Non CSA Farms - if you are a CSA Farm please return to the BW-Greenway website and select the CSA Farmers form
Non-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
Select your County from the following list
Preferred Phone Number
Enter as xxx-xxx-xxxx
Your answer
Alternative Phone Number
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
Preferred method of customer contact
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B-W Greenway needs your contact info, but will not include it in the directory if you check it here.
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