Fillable Vegetables Producers Information Form printable pdf download

Vegetables Producers Information Form

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MISSISSIPPI DEPARTMENT OF AGRICULTURE AND COMMERCE

P.O. BOX 1609

JACKSON, MS 39215-1609

LESTER SPELL, JR., D.V.M. COMMISSIONER

NAME:_______________________________________________________________________

ADDRESS:____________________________________________________________________

CITY:____________, COUNTY:____________, STATE:____________, ZIP:____________

TELEPHONE:__________________________________________________________________

BUSINESS ADDRESS:__________________________________________________________

BUSINESS TELEPHONE:________________________________________________________

LIST BELOW THE MAJOR PRODUCE THAT YOU GROW AND MARKET:

_____________________________________________________________________________

NUMBER ACRES IN PRODUCTION:_______________________________________________

INDICATE HOW YOU MARKET YOUR PRODUCE:____________________________________

_____________________________________________________________________________

THE MISSISSIPPI DEPARTMENT OF AGRICULTURE AND COMMERCE WILL PUBLISH A

DIRECTORY SHOWING ALL VEGETABLES PRODUCERS AND HOW THEY ARE MARKETED.

THIS WILL BE HELPFUL IN LOCATING ALL TYPES OF PRODUCE FOR THE MARKET.

DO YOU WISH TO HAVE YOUR NAME AND BUSINESS PUBLISHED IN THIS DIRECTORY?

YES:__________ NO:__________

WOULD YOU SELL TO A LOCAL FARMERS MARKET? YES:__________ NO:__________

SIGNATURE:__________________________________________________________________

DATE:________________________________________

Vegetables Producers Information Form

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