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Direct to Consumer Marketing for Farmers Registration Form
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* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Gender
*
Female
Male
Prefer not to say
Other:
Mailing Address
*
Your answer
Phone Number
*
Your answer
How would you prefer to be contacted?
*
Email
Phone Call
Text
Are you a veteran or family member of a veteran?
*
Yes
No
Please specify your ethnicity:
*
Caucasian
African-American
Latino or Hispanic
Asian
Native American
Native Hawaiian or Pacific Islander
Two or More
Prefer Not to Say
Other:
What is the highest degree or level of education you have completed?
*
Some High School
High School
Bachelor's Degree
Master's Degree
PhD or higher
Trade School
Prefer not to say
Other:
Preferred Online Class time:
*
7:00 pm - 8:30 pm CST
7:30 pm - 9:00 pm CST
How long have you been farming?
*
Your answer
What is your current farm business?
*
Established farm - Sell direct to consumer
Established farm - Want to sell direct
In process of establishing farm
Other:
What products do you raise currently?
*
Your answer
Why are you interested in this course? What do you hope to gain?
*
Your answer
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