Contact Name
Farm Address
Mailing address (if different from above)

Please  select a W, R, or P  for each crop you grow
W = Wholesale, R = Retail, P = Pick-Your Own

***Important – Only list crops/products YOU grow/produce***

Fruits

Apples
Plums
Blueberries
Raspberries
Cranberries
Strawberries
Nectarines
Peaches
Pears
Other (specify below)

Vegetables:

Beans
Cabbage
Carrots
Cucumbers
Ethnic crops
Lettuce
Greens
Herbs
Onions
Parsnips
Peppers
Potatoes
Pumpkins
Squash, Summer
Squash, Winter
Sweet Corn
Tomatoes
Turnips
Other (specify below)

Flowers/Plants:

Annuals
Christmas Trees
Cut Flowers
Native Plants
Perennials
Trees/Shrubs

Value Added Farm Products

Baked goods
Cheese
Cider - Fresh
Clams/Shellfish Aquaculture
Compost
Fiber
Honey
Ice Cream
Jams/Jellies/Sauces
Maple syrup
Milk
Milk - Raw
Milk - Goat
Tobacco
Wood Products
Forage crops (specify below)

Meat/Poultry Products:

Beef
Lamb
Pork
Eggs
Turkey
Other (specify below)

If you Wholesale Meat, please fill out slaughterhouse information

Ag-tivities:

Birthday Parties
Bus Tours
Corporate Events
Disc Golf
Farm Stay (B & B)
Horse Hayrides (*horse license required)
Mazes (corn, hay, etc.)
Petting Zoo
School Tours
Tractor Hayrides
Weddings

How do you market your crops/products in general? (check all that apply)

Retail through
Wholesale to:

For the Massgrown Map, which one icon would you like to use to best represent your farm business?

Icons