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2009 Farm Family Selection Form
Directions: Please use the
Farm Family selection worksheet
to gather your information and then complete this form by May 1. Contact
Mary Jo Fox
with any questions.
Steps:
Farm Family Info
*
Farm Family Highlights
Farm Family Information
Please complete the following information about the selected Farm Family.
*
County:
Aitkin
Anoka
Becker
Beltrami
Benton
Big Stone
Blue Earth
Brown
Carlton
Carver
Cass
Chippewa
Chisago
Clay
Clearwater
Cook
Cottonwood
Crow Wing
Dakota
Dodge
Douglas
Faribault
Fillmore
Freeborn
Goodhue
Grant
Hennepin
Houston
Hubbard
Isanti
Itasca
Jackson
Kanabec
Kandiyohi
Kittson
Koochiching
Lac qui Parle
Lake
Lake of the Woods
Le Sueur
Lincoln
Lyon
McLeod
Mahnomen
Marshall
Martin
Meeker
Mille Lacs
Morrison
Mower
Murray
Nicollet
Nobles
Norman
Olmsted
Otter Tail
Pennington
Pine
Pipestone
Polk
Pope
Ramsey
Red Lake
Redwood
Renville
Rice
Rock
Roseau
Scott
Sherburne
Sibley
St. Louis
Stearns
Steele
Stevens
Swift
Todd
Traverse
Wabasha
Wadena
Waseca
Washington
Watonwan
Wilkin
Winona
Wright
Yellow Medicine
*
Family Name as it should appear on the plaque:
*
Will this family participate in the Farmfest recognition event to be held during Farmfest (August 4 - 6)?
Yes
No
*
Number of family members who will attend:
*
Names of family members who will be attending:
*
Name of Family Contact Person (this person will recieve the Farm Family communications):
*
Address (include zip code):
*
Phone (include area code):
*
Family Name Pronunciation (ex. Skapanski = skaPANskee):
Select the Next button below to complete the Farm Family Highlights.
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Last modified on 7/7/2009 3:20:23 PM by
rcmarshall@umn.edu