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Landowner Workshop Registration

Email Address:
Last Name:
First Name:
Address Line 1:
City:
State:
Zip Code:
Telephone Number:
Work Telephone Number:
Names of Attendees:


Please complete the following information:
Do you own land?  Yes  No
If yes, State:
 Acres Owned:
 Tillable Acres:
 Pasture Acres:
 County(s):

Workshop location you are registering for:
  

Do we currently manage any of your farms?
Yes No

General Comments/Other

Questions you would like to be answered at workshop:
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