subject_line
Coffee & Conservation: Registration
Name
*
Email Address
*
Phone
*
City
*
Zip
*
Dates you wish to attend? ** More Dates Coming Soon! **
*
August 8th 9am-11am at Slow Farm 4700 Whitmore Lake Rd, Ann Arbor, MI 48105
(0 remaining)
Where did you hear about us?
*
Email advertisement
Flyer or posting
Friend or family
Newspaper advertisement
Personal inquiry
Website advertisement
Social Media
Other
Other
Are you interested in becoming a MAEAP verified farm?
*
Yes, I'm interested.
No, I'm not interested.
My farm is already verified.
In process of becoming verified.
Other
Other
If for any reason the event needs to be canceled, you will be notified at least 12 hours in advance via the email address you provided above.
*
I understand
Are you currently enrolled in Environmental Quality Incentives Program (EQIP) or Conservation Stewardship Program (CSP)?
*
Yes
No
Have you worked with Natural Resource Conservation Service (NRCS) before?
*
Yes
No
Photo Release Policy: By attending this event, I grant permission to the WCCD and its partner organizations to use photographs and/or video of me and my dependents in publications, news releases, online, and in other communications related to the mission of the groups.
*
I agree
I do not agree and will identify myself to a staff member at the start of the event