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Landowner Workshop Registration

Email Address:
Last Name:
First Name:
Address Line 1:
City:
State:
Zip Code:
Phone:
Work Phone:
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):

How did you hear about our Landowner Workshop Series?
Farm and Ranch Scene
Direct Letter
Farmers National Company Representative
Recommended by Friend or Colleague
Google/Search Engine
Social Media

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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