Response Form
Disclaimer: all information here is confidential and will not be sold or used maliciously.
 
After you fill out this response form, we will contact you to go over the details, and make a plan. 


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If you have any questions with the form, please contact us at (606)584-5262 or dylan@laurasmercantile.com
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Email *
Do you self-identify as historically underserved by the USDA? This includes limited resource, beginning, socially disadvantaged by race or sex, or veteran farmers. Definition here: https://www.nrcs.usda.gov/getting-assistance/underserved-farmers-ranchers
*
Do you raise livestock, crops, or make value-added products? Select all that apply.
*
Required
How many acres are in your operation? *
If running cattle/sheep/goats, how many head are in your herd?
(please write n/a if you're not raising ruminants)
 *
If you produce crops, what are your dominant crops? 
(please write n/a if you do not grow crops)
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Which of our practice methods are you interested in?  *
Required
Do you currently utilize any of these practices? 
Select all that apply
 *
Required
Do you have records accessible of previous years? *
Contact info
Your name *
Phone number *
Address/Farm address *
Email
Preferred contact method *
Required
Questions and comments
How did you hear about us? *
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