Name __________________________________________________

Farm Name______________________________________________

Address ________________________________________________

City ______________________State ______ Zip _______________

Telephone _______________ Fax ___________________________
 E-mail _________________________________________________

County ___________ Date ________ Chk # _________Cash ____

Items you produce which you would like to sell directly to
Consumers____________________________________________
_____________________________________________________
Amount produced for market ______________________________
If meat products are you selling wholes, halves, quarters or USDA
inspected labeled packages? _______________________________
What is special about these products _________________________
_______________________________________________________
(Organic, grass fed animals, antibiotic or hormone free, etc)
Best time for consumers to reach you _________________________
_______________________________________________________

This marketing directory will be distributed to the Chapter membership and will be passed out at our various events.  If you wish to be listed, we are asking for a $5.00 fee to help cover expenses.

Fill out the above form and return to:
Lynda J. Converse
34640 267th Ave., Browerville MN 56438
Phone: 320-594-2456
e-mail converse@rea-alp.com
Make check payable to Central SFA