Membership Registration
Please answer the following questions to register as a member of the New CT Farmer Alliance. Only those questions marked with * are required for registration. The information collected here will be used to help shape the mission and future events of NCTFA. This will not be shared without your permission. Thank you.
First Name *
Your answer
Last Name *
Your answer
Membership Type *
Farm or Organization Name *
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Phone *
Phone number with area code.
Your answer
Email Address *
Your answer
Web Site Address
Your answer
Volunteering *
NCTFA plans a number of events during the year and could use help from volunteers. Are you interested in helping at a future event, and if so, how (hosting a farm tour, tabling at events, etc.)?
Your answer
Age
Farm Products
What do you produce at the farm? Please check all that apply.
Markets
Where are the farm products sold? Please check all that apply.
Years Farming
How many years have you been farming in CT?
Your answer
Total Years Farming
How many years have you been farming altogether?
Your answer
Land Access
Do you lease or own the land you are farming? Check both if both apply.
Acreage
How many acres do you have in active production?
Your answer
How did you find out about the New CT Farmer Alliance?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms