Complete this form to receive information regarding upcoming Local Fare events and opportunities. First Name: Last Name: Organization: (e.g. farm, business, or agency) Address: City: State: Zip Code: County: Home Phone: Work Phone: Mobile Phone: Fax: Email address: Website: Please sign me up to receive information on upcoming events and opportunities via the Local Fare "Hot Sheet." I am interested in this program as a: Producer Distributor Buyer Customer or Consumer Advocate Organization Media I am interested in the following local foods issues: Farm to School Community Gardens Local Distribution Models Local access for local products Large retailers offering local products Food security for those in need Agricultural Tourism Other If "other," please describe here: I heard about Local Fare through: Local Fare brochure Local Fare website Friend /word of mouth Other If "other," please describe here: Most updates are sent via email. If you don't provide an e-mail address, we will do our best to periodically keep you informed.