JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
May 6, 2021 COVID -19 Capital District Supply Pickup
This survey is used to facilitate registration and quantities requested.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Farm Name
*
Your answer
Pickup Location
*
CCE Albany County, 24 Martin Road, Voorheesville, NY
CCE Columbia/Greene, 479 Rte. 66, Hudson, NY
Rensselaer County Fairgrounds, 69 Stillwater Bridge Rd., Schaghticoke, NY 12154
CCE Saratoga 4-H Training Center, 556 Middleline Road, Ballston Spa, NY
Warren County, 353 Schroon River Rd., Warrensburg, NY 12885
Washington County Fairgrounds, 392 Old Schuylerville Rd., Greenwich, NY 12834
Pickup Day
*
Thursday, May 6. From 11:00 A.M. - 1:00 P.M.
Boxes of hand sanitizer requested (4 gallons per box)
*
Your answer
Type of Farm (vegetables, tree fruit, u-pick, farm stand, winery, etc)
*
Your answer
Additional Farm Information (Check all that apply)
*
Farm Stand
Upick
CSA/Food Delivery
Farm Employee Housing
Packing House Facility
Dairy and Livestock
Nursery and Horticulture
Craft Beverage
Required
Number of Employees
*
Your answer
Business Address
Your answer
City
*
Your answer
State
Your answer
Zipcode
Your answer
Phone (Primary)
*
Your answer
Email (Primary)
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
