Farm Address (location)

Business Name & Contact Person

Phone Number

Email

Farm Size (acres)

Please describe your current, if any, Land Management procedures

What types of crops do you grow?

Corn

Soybeans

Wheat

Barley

Oats

Rye

Canola

Sunflower

Flax

Sorghum

Alfalfa

Hay

Other

For each crop checked above, please state how many acres you dedicate per planting season.

What types of livestock do you rear?

Cattle

Dairy Cattle

Hogs

Sheep

Goats

Poultry

Other

Do you use any of the following soil management techniques?

No-till

Strip-till

Cover Crops

Crop Rotation

Other

Are you open to using any of these soil management techniques?