Producer Form

To get included as a producer on this website ...... 

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If you are a farmer or producer and you would like to be listed on this web site so that customers might find you, please complete the information below and return it to the webmaster.

Please provide the following information:

Farm/Grower/Artisan Name: ______________________________
Farmer/Grower/Artisan Name:_____________________________
Location: ____________________________________________
Products:____________________________________________
Phone:___________________________________________________________
Email:
______________________________________________
Web Site: ____________________________________________ Direct/On Farm Sales?:__________________________________
Accept WIC/Senior Vouchers?: ____________________________
Pick Your Own?:  ______________________________________
 Also available?: ________________________________________

 We look forward to hearing from you.

Return this form to: 
Steven Martin
Church View Farm
HC 64  Box 2027
Romney, WV 26757
Email: stevenmartin@frontiernet.net
Phone: 304-822-3878