R
Skip to Content
Agencies | Governor
Search Virginia.Gov

MARKETING AND DEVELOPMENT

Virginia Farm to School Program ~ Farm Form

Photo of farm.

School Form
Farm Form
Distributor Form

Register Now

Farm Form
Date:

Farm Name:

Contact Person and Title:

Address:

City:

State:

Zip:

Phone:

Fax:

E-mail:

Web site:

Total Production Acreage:

Please list the counties you are interested in servicing:

Produce and Seasonal Availability:

Region: (See map for details)
1 2 3 4 5 6

Shipper Codes:
CA CS GAP HC ICE LTL
TL
 
or

Please feel free to contact Leanne DuBois with any questions at leanne.dubois@vdacs.virginia.gov or dial 804.225.3663. You can also fax registration forms to 804.371.7786. Thank you.

Copyright © 2014, Virginia Department of Agriculture and Consumer Services. For Comments or Questions Concerning this Web Site, contact the VDACS Webmaster. WAI Level A Compliant
Web Policy | Contact Us