*1.Does your school currently use Farm Works?(Required.)

Yes

No

*2.I would be interested in... (select all that interest you)(Required.)

Farm Business Management

GIS/Mapping

GPS Mobile Computers

Water Management

Herd Management

None of the above

*3.Would you be interested in receiving more information about Farm Works by e-mail, direct mail, or other forms of communication?(Required.)

Yes

No

*4.To enter the contest, please enter your school information below. If you have a mobile phone, please enter this on the form below. Your mobile phone will be used first to contact you if you are selected as the winner. Only FFA, high school, or college teachers are eligible for this contest. The lightbar system must be registered to the school.(Required.)

Instructor First and Last Name *

School Name *

Address: *

Address 2:

City/Town: *

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: *

Email Address: *