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2023 Service Provider Training Interest Form
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Privacy Notice and Terms of Service

Check each box to state that you have read and agree to our Privacy NoticeClient Code of Conduct and Terms of Service.

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Full Name
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E-mail:
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Phone Number:
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Which roles do you most identify with?
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What is your job title within your organization?
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Organization or Business Name (if applicable)
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Website
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Do you currently serve farmers, ranchers, or fishers?
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Would you like the cost of the course refunded for attending all 6 sessions? (refund only eligible for attending all 6 sessions)
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How long have you worked with farmers, ranchers, or fishers?
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State
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Tell us a bit about your background: what drives you to serve small businesses and what is your interest in serving farmers, ranchers and fishers?
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CA County
If based in California, please select the county you work in:
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