Farm to Market Hemp Fiber/Hurd/Seed Program
Email address *
Farm Name Participating in the Fiber/Hurd/Seed Program *
Your answer
Farm Contact Name Participating in the Fiber/Hurd/Seed Program *
Your answer
Farm Contact Phone To Be Used For Fiber/Hurd/Seed Program *
Enter a phone number that can receive texting in order to receive occasional updates.
Your answer
City, State and Zip of Intended Crop Location *
If there are multiple locations being submitted in the total acreage count below, please add all applicable areas.
Your answer
Latitude of Central Point of Participating Crop Location *
Latitude
Your answer
Longitude of Central Point of Participating Crop Location *
Longitude
Your answer
Number of Acres Estimated for Fiber/Hurd/Seed Program *
Your answer
Certified Organic Farm Land with Active Certificate *
Answering Yes means the soil sample requirement is waived after certification documentation is submitted.
Required
Does this Farm qualify as Minority/Female Owned? *
I was referred by..... *
In order for the referral partner to receive credit for your farm, please enter the name of the person who referred you.
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Farm to Market Hemp.