General Request for Assistance with Southwest Badger RC&D
If free grant-supported services are not available or you are not a member of Southwest Badger, the cost is $80.00 after a 1 hour on-site assistance is complete. Additional hours of technical assistance are $50/hour. A 20% discount is currently available to landowners in the following counties: Lafayette, Sauk, and Vernon, thanks to the annual support provided by the county Land Conservation Committees.

Please provide your name, address, email, and phone number to set up an appointment.

Contact Name *
The name of the person(s) requesting the onsite.
Your answer
Organization Name
Use if the billing name is different from "Contact name."
Your answer
Site Address *
Location of the onsite. Please include City, State, and Zip Code.
Your answer
Mailing Address
Mailing/billing address, if different from the site address. Please include City, State, and Zip Code.
Your answer
Phone Number(s) *
Providing your phone number allows us to provide you quick service and communicate with you in the event of schedule changes.
Your answer
County *
In what county is the land that will be visited? This allows us to determine eligibility for a 20% discount for landowners in counties that have paid their dues to Southwest Badger.
Required
Email Address *
Providing your email helps us reduce paperwork and keep expenses low.
Your answer
Service requested *
Check the box(es) of services you are requesting.
Required
The purpose of the request *
Describe any issues, concerns, or questions you would like the technician to answer.
Your answer
How did you hear about us?
This helps us to reach more landowners with this service!
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Southwest Badger Resource Conservation and Development Council. Report Abuse - Terms of Service