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Business/Farm Name

Owner Name

First Last

Description

Address

Street Address Address Line 2 City State ZIP Code

Which county is your business/farm located?

Phone

Website

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Facebook

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Select Farmers Markets you attend

Other Market

Sales Channels

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CSA
Farm Stand
Farmers Market
On-Farm Sales
Retail
U-Pick
Wholesale

Products

What other products do you sell?

Do you offer on-farm sales?

Yes
No

When are you open?

All Year Round
Certain Months of the Year
By Appointment Only

Months Open

Do you have set hours?

Yes
No, by appointment only

Days of Week

Select All
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Monday Times

By Appointment Only
Time Range

Monday Start Time

:

Monday End Time

:

Tuesday Times

By Appointment Only
Time Range

Tuesdayday Start Time

:

Tuesday End Time

:

Wednesday Times

By Appointment Only
Time Range

Wednesday Start Time

:

Wednesday End Time

:

Thursday Times

By Appointment Only
Time Range

Thursday Start Time

:

Thursday End Time

:

Friday Times

By Appointment Only
Time Range

Friday Start Time

:

Friday End Time

:

Saturday Times

By Appointment Only
Time Range

Saturday Start Time

:

Saturday End Time

:

Sunday Times

By Appointment Only
Time Range

Sunday Start Time

:

Sunday End Time

:

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