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Northwest Tennessee Local Food Guide Magazine Registration Form 2027
*
1.
Contact Information
(Required.)
Name of Company
*
Complete Name of Owner(s)
*
Address
City/Town
State/Province
ZIP/Postal Code
Email Address
Phone Number
*
2.
Select your Northwest Tennessee County
(Required.)
Benton
Carroll
Crockett
Dyer
Henry
Gibson
Lake
Obion
Weakley
Other County
3.
We do not list complete addresses; however, if you want your complete address listed please let us know here.
Yes, I want my complete address listed.
No, I do not want my complete address listed.
*
4.
In 25 words or less, describe what local product(s) or services you offer:
(Required.)
5.
Website Page Link
6.
Facebook Page Link
7.
Other Social Media Page Links
8.
Please select the most appropriate category for your farm/business (choose the one that fits best)
Animal Goods (Local Meats)
Agri-tourism, U-pick
Artisan Goods (jams, breads)
Beekeeper
Produce Farm
Farmers Market/Retail
Food Truck
Food Processor
Hunger Relief Organization
Locally Owned Plant Vendor
Locally owned Restaurant
Locally owned Cafe
Fishery
9.
Do you accept EBT Cards or Vouchers for payment of goods? (Select all that apply)
Yes, I accept EBT Cards.
Yes, I accept Vouchers.
I would like more information on how to do that.
No, I do not accept EBT nor Vouchers
Please read the following and select one of the choices below:
10.
I would like more information about advertisement sales in the upcoming Local Food Guide magazine. (all basic listings are free to publish)
Yes
No
11.
I understand that the benefits gained from being listed in the FREE NWTN Local Food Guide Magazine are a result of time, energy, and dedication from the Northwest Tennessee Local Food Network staff. I understand that any information provided in this form (except for my complete address) will be released to the public. No person will be excluded from participation in or otherwise subjected to discrimination in regard to services, programs, employment provided by the Northwest Tennessee Local Food Network based on race, sex, color, national origin, sexual orientation, disability, age, or religion.
I agree
I do not agree
12.
I understand the Local Food Network publishes a regional local food guide magazine, but does not offer online listings. I can register my online listing on the
PickTN products website
.
Yes
No
N/A
We greatly appreciate your efforts in helping us advance our mission: to serve as a catalyst
for a thriving and equitable local food system that is accessible to ALL. Learn more at
nwtnlfn.org
Current Progress,
0 of 12 answered