Central State University 1887, registered trademark

Central State University
Outreach Education and Technical Assistance (O.E.T.A.) Farmers Conference
Registration Form

OETA project, Charles S. Smith College of Business (937) 376-6428.

Information

First Name

Last Name

Email

Phone

Address:

City

State

ZIP Code

Age

Gender

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Ethnicity

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How long have you been farming?

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Which of the following topics are you interested in the most?

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Please list any dietary restrictions

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