MSU Product Center Summit Coupon Code Application Form

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Please complete this form by Noon on November 11, 2020 so you are able to register for the summit on November 12.

Please give us a short description of your food business. *

Please enter the email address where we can send your coupon code if your application is approved. *

Please enter your name and the name of your business if you have one. *

Please tell us the Michigan county where you live. (Example, Kent County or Wayne County) *

Do you plan to make or are you making a healthy food item? (Low sugar, low salt, heart healthy, low calorie, high in fiber, etc.) *

Yes

Not sure

Does your product include locally sourced foods? *

Yes

Not sure

Have you received a grant, loan or scholarship from the Michigan Good Food Fund in the past? *

Yes

Not sure

To meet our scholarship funding requirements, we must ask you to indicate your racial/ethnic identity. *

Alaskan Native or American Indian

Asian

Black or African American

Hispanic/Latino

Native Hawaiian or other Pacific Islander

Middle Eastern or Arab American

Multi-Racial

White or Caucasian

I choose not to provide

必填

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