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Welcome to the "Farmers' Market Food Safety" training online.
This project was funded by the USDA Specialty Crop Block Grant
through the Iowa Department of Agriculture and Land Stewardship.

• For our records, we require you to fill in all of the fields in this
online form prior to gaining access to the courses.

• Once you submit all of your answers, you will be provided with a
personal enrollment key which provides you access to the online courses.
(Complete directions provided once you submit your answers.)

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* 1. Enter today's date

Today's date is
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* 2. Your First Name

* 3. Your Last Name

* 4. This course is exclusively for farmers' market managers and vendors.

I am a Farmers' Market

* 5. Farm/Organization Name

* 6. Farm/Organization Address

* 7. Farm/Organization City/Town

* 8. Farm/Organization State

* 9. Farm/Organization Zip Code

* 10. Phone Number including area code
(example format: 515-555-1234)

* 11. Email address

* 12. Is there any additional information you wish to provide?

Continue on to the next page to tell us more about your farm/organization.
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