Farm/Business Name (required)

Contact Name(s)

Mailing & 911 Addresses

Phone Number

Fax

Your Email (required)

Website

Directions to Site (Crossroads, etc.)

Description or Marketing Line for Business (Description of operation, what visitors will be able to see, do, receive or buy - 15 words or less)

Hours of Operation (hours, months, seasonal, call first, etc.)

Category (Check all appropriate categories. If products are purchased from other sources, off your farm, please indicate.)

 Meats, Fish, Poultry, Eggs (Inspected)
 Maple Syrup, Honey, Cider
 Fruit
 Vegetables
 Herbs
 Grains, Flours
 Flowers, Bedding Plants
 Milk, Cheese (Pasteurized)
 Baked Goods, Preserves
 Organic
 Other (Specify)

By checking the box below, you certify and accept responsibility for ensuring the above information is correct.
The committee will use their discretion as to who may be listed on the map.
   I Agree