Alaska Grown Supply Order Form

The Division of Agriculture is excited to offer marketing supplies for sale. Orders are available through June, 2019 while supplies last. We will start a wait-list for items we run out of and take new item requests for consideration.

After completing you will be contacted to verify and complete your order.

Please be patient as we get used to the new process and level of interest.

If you are interested in promotional merchandise please contact Johanna Herron at Johanna.herron@alaska.gov

or Erin Shepard at Erin.Shepard@alaska.gov.

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* 1. Tell us about yourself

First Name

Last Name

Business Name

Address

City

State/Province

ZIP/Postal Code

Alaska Grown Member # (if not known please put put "unknown")

Email Address

Phone Number

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* 2. Which type of membership describes you best?

Producer (actively cultivating or managing an Alaska Grown commodity)

Associate (retailer, market manager, restaurant, distributor, manufacturer etc.)

Both 

Neither

Don't know

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* 3. Which additional supplies would you be interested purchasing, if they were available? (Check all that apply)

Chef style cloth aprons

Heavy duty produce aprons

Hats

Waist high aprons 

Flower sleeves

Large Circle Alaska Grown Static Clings

Alaska Grown Posters

Mugs

Reusable bags

Alaska Grown Patches

Other (please specify)

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* 4. Please provide any additional comments or questions below.

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* 5. Would you like to place an order for any of the available supplies?

Yes

No

If there were other items for sale

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