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2019 Entry Form - Local Food Directory for Restaurants, Bakeries and Breweries
Entry form for Restaurant, Bakery, Brewery or other commercial business that uses locally grown produce, fruits, honey, maple syrup, eggs, meats, poultry and fish and grains. If you are a farm, cottage food or home-produced food business please return to the BW-Greenway website and select the appropriate input form.
Restaurant, Bakery or Brewery Name *
Your answer
Street Address
Your answer
City
Your answer
State (e.g. OH)
Your answer
Zip Code (5 digits)
Your answer
County *
Preferred Phone Number
Please enter as xxx-xxx-xxxx
Your answer
Alternative Phone Number
Please 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
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