*1.What is your contact information?(Required.)

Full Name

Farm Name

Address

City

State

AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming

ZIP

County

Email Address

Phone Number

*2.Are you interested in selling to schools?(Required.)

Yes

No

*3.Are you a Sweet Grown Alabama member?(Required.)

Yes

No

*4.Please select all of the crops you are growing or planning to grow this year? (Products separated by type of food.)(Required.)

Apples

Blackberries

Blueberries

Cantaloupe

Muscadines

Peaches

Persimmons

Satsumas

Strawberries

Watermelon

Bell Peppers (Any Color)

Broccoli

Butterbeans

Cabbage

Cauliflower

Collard Greens

Corn

Cucumber

Eggplant

Green Beans

Green Peas

Kale

Lettuce, Butterhead

Lettuce, Leaf

Lettuce, Romaine

Lima Beans

Mustard Greens

Okra

Onions

Potatoes

Spinach

Summer Squash

Sweet Potatoes

Tomatoes

Turnip Greens

Winter Squash, Acorn

Winter Squash, Butternut

Beef

Water

Other (please specify)