Thank you for your interest in selling food to local food pantries. This is the first phase of our initiative as our organization and partners navigate uncharted territory. If there is a match between your products and the pantries' needs, someone will be contacting you in the coming weeks. We will continue to explore ways we can be of help and stay in touch as things unfold. Our hearts are with you and your families.

if you have questions or more to share, contact us at info@groundworkcenter.org or (231) 941-6584. Thanks!

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* 1. Farm Name:

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* 2. Preferred Contact Person

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* 3. Address:

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* 4. Phone Number:

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* 5. Email:

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* 6. Preferred Contact Method:

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* 7. Manna Food Project and members of the Northwest Food Coalition have provided a list of products they are most interested in purchasing from local farmers. Please indicate crops that you are currently growing or might be able to grow (Select all that apply):

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* 8. Please provide your best estimate of price per pound for each product you are currently growing or might be able to grow:

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* 9. Please provide your best estimate of when you plan to or could plan to have each product available for harvest:

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* 10. Please provide your best estimate of how many pounds you plan to or could plan to grow for sale to food pantries.

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* 11. Are you able to deliver your product? Please select all counties in which delivery may be possible. 

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* 12. What has had the greatest impact on your farm revenue?

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* 13. Do you have a preferred agency to partner with?

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* 14. Assessing the economic impact the COVID-19 crisis has had on local farmers will be critical to securing future financial support. If you are willing to share sales data regarding the economic impact of the loss of restaurant, school, and direct to consumer sales (farmer's markets and others) through June 30, please do so below.

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* 15. Any additional comments you can offer at the time, regarding the benefit this type of funding might have for your business?

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* 16. Please indicate whether or not you offer permission for your remarks to be shared publicly.

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