Indiana Grown Member Information Update
In order to make the most of your Indiana Grown membership, we need to make sure your information is accurate. Our team can only work with the information we have been given, so make sure to include all relevant details about you and your farm/business. Remember to list every individual product you wish to qualify for Indiana Grown!

Please note that the information you provide below will be used to update your current Indiana Grown profile, so be sure you are using the latest and best information. Thank you for your continued membership with Indiana Grown!

Questions may be directed to Heather Tallman, Indiana Grown Program Director, at htallman@isda.in.gov or 317-697-5863.

**Please note that each individual business needs its own membership.
Email address *
First Name and Last Name *
Your answer
Company/Farm/Business Name *
Your answer
County *
Your answer
Physical Address *
Your answer
Mailing Address (if different than physical address)
Your answer
Phone Number *
Your answer
Please list the authorized users of your account (names and email addresses) *
Your answer
Company/Farm Website
Your answer
Have you been active with Indiana Grown in the last year? *
If yes, what Indiana Grown activities have you participated in?
Your answer
If no, why have you not participated in any Indiana Grown activities in the past year?
Your answer
Product Update (list ALL of the products you currently have that qualify for Indiana Grown) *
Your answer
Do you package/raise/grow/process your product in Indiana? *
If yes, what and where?
Your answer
If no, where and why?
Your answer
Are you a veteran? *
If yes, what branch?
Your answer
Do you want your physical business address located on the member map? *
Do you retail on site? *
Do you retail online? *
If yes, what is the web address where you sell products?
Your answer
Are you a home based vendor? (this applies to members making a product in their home, not a farm residence) *
Do you utilize a distributor to move your product? *
If yes, who is your distributor(s)?
Your answer
Do you want to be included in our wholesale buyer's guide? (If yes, an Indiana Grown representative will contact you) *
Do you know your username and password in order to login to the Indiana Grown website? (If no, an Indiana Grown representative will contact you) *
Would you be interested in one of our upcoming WISH TV segments? (If yes, an Indiana Grown representative will contact you) *
Do you need the updated Indiana Grown logo? (If yes, an Indiana Grown representative will contact you) *
What kind of feedback would you like to give Indiana Grown staff?
Your answer
Where do we excel as a program?
Your answer
Where can we improve as a program?
Your answer
What would you like to see Indiana Grown do in the next 5 years?
Your answer
How can Indiana Grown help YOUR business grow?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy