* 1. Name

* 2. Email

* 3. Are you a VGI member?

* 4. Are you interested in participating in an agricultural based community?

* 5. Do you own land that you want to share for the purpose of sustainable agriculture and/or a community on that land?

* 6. Do you want to buy land, collectively with a group of other like-minded folks?

* 7. Do you believe you have the skills needed to create an agriculture-based community?

* 8. Do you want to create such a community here in the city of Milwaukee?

* 9. Do you want to get involved in the coordination of a project or program, that would help this concept move forward?

* 10. Anything else that you would like to tell us about this concept?

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