The Regenerative Farm Network: Membership Form

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Thank you for your interest in the Regenerative Farm Network (RFN-NJ). North Jersey RC&D would like to tailor RFN-NJ discussion and content to member needs. The information here will let us know what content to provide and how to deliver it. We will also provide technical services to a limited number of participants. You can use this survey to choose your top choices of services. Thank you for filling out the survey. It typically takes 5 minutes or less.

If you have any questions or comments, please reach out to Sam at sloscalzo@northjerseyrcd.org. Thank you!

Note: It is NOT required to sign into Google or have a Gmail account.

First Name *

Last Name
*

Email *

Phone Number

Farm or Business Name *

Street Address (of your farm or business)
*

City (of your farm or business address)
*

Zip code (of your farm or business address)

Which do you most closely consider yourself? Your answer will determine the questions which proceed next. This survey is primarily geared towards farmers. You may take this survey more than once if you associate yourself in multiple roles. *

Farmer

Ag Service Provider/Industry/Extension

Other:

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