Has your farm been in business for at least 3 years OR do you have at least three years' previous experience owning or managing a farm?*YesNoDo you expect your farm to have gross sales of at least $20,000 this year?*YesNoAre you actively selling your farm products to wholesale markets, OR, do you have an interest in wholesaling?*YesNoContact InformationFarm Business Name*Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Your farm's total acreage*Your farm's acreage under production*Would you like to share any accessibility accommodations that we can make for your workshop experience to be a success? All are welcome to participate in this program and we will make every effort to ensure all farmers can participate fully.Registration and PaymentPlease select which workshop series you would like to attend. You will be required to attend all three workshop dates in your desired location.*Fork Food Lab, Saturdays 9am-4pm on 1/4, 1/11, & 2/15 (snow date 2/22): ALL PRODUCERSU of Maine Business School at Orono, Sunday + Monday 1/26-27, & Sunday 2/2 (snow date 2/9): CREAMERY COHORTHow many people would you like to register to attend all three workshops?*Farms may bring up to three attendees to the workshop.Please enter a number from 1 to 3.Any dietary preferences?VegetarianGluten FreeNoneRegistration Fee* Price: $500.00 Other payment options, payment plans, scholarships, and reimbursements for travel expenses are available. For details, please contact Catherine, catherine@mainfarmlandtrust.org or call the MFT office, 207.338.6575. Coupon Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Questions? Contact Catherine: catherine@mainefarmlandtrust.org or (207) 338-6575.
