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* 1. Do you farm or ranch as an occupation?

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* 2. Are you a veteran or in active military duty?

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* 3. Did you experience a illness or injury that changed your life?

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* 4. If you answered yes to Question #2, would you be willing to share your story with other veteran farmers?

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* 5. Please tell us a little about your experience in 3-4 sentences.

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* 6. Which state do you reside?

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* 7. Thank you for sharing your story.  If you'd like for us to contact you, please leave your details below.

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