Small Farmer Conference



Name
Title
Mailing Address
City
State
Email Address
Phone Number
Fax
Will this be your first time at a training/conference hosted by Southern University Ag Center?
Yes/No
 Do you have special dietary or accessibility needs?
Yes/No
If Yes, please explain
Farming Operation (please specify)
Describe the farm operation
Number of years in farming
Full Time/Part Time
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