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Grow With Earth Fare – Grower Intake Form
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Contact Information
Name
*
First
Last
Name of Farm
*
Location
Street Address
City
State / Province / Region
ZIP / Postal Code
Farm Information
Food Safety Certification Provider (Please Check All That Apply)
*
BRC
CanadaGAP
FSSC22000
GAA
GlobalGAP
GRMS
IFS
PrimusGFS
SQF
JFSM
JGF
Freshcare
Upload Food Safety Certification
Drop files here or
What Crops Are Grown On Your Farm(s)? - (Select All)
*
Apples
Asparagus
Blueberries
Broccoli
Cabbage
Cantaloupe
Grapefruit
Grapes
Green Beans
Lettuce
Oranges
Peaches
Peas
Peppers
Potatoes
Raspberries
Spinach
Strawberries
Squash
Tomatoes
Watermelon
Zucchini
Other
If "Other", Please List Your Crops Here
Are You Organically Certified?
*
Yes
No
Do You Offer Delivery Programs?
*
Yes
No
When Can You Start?
*
Date Format: MM slash DD slash YYYY
Please List All of the States In Which You Have Farms.
Marketing Information
Please upload any marketing materials for your farm (sell sheets, info cards, availability charts, etc.)
Upload Marketing Resources
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