Arenac Landowner Education Day
MAEAP Producer Education / Phase 1 Event
Saturday, September 7th 2024, 9:00 am – 1:00 pm
Huber Farms - 791 Tonkey Rd Au Gres, MI 48703
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
Confirmation Email
example@website.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you a Farmer or Landowner? (Select one, both, or neither if not applicable)
Farmer
Landowner
What commodity do you farm?
Crops
Livestock
Dairy
Other
What is your farm's name?
(Optional)
Will you be requesting Restricted-Use Pesticide (RUP) credits?
*
Yes
No
Certification Number
Certification Type
Private "P"
Commercial "C"
Registered Technician "R"
Credit Category (Only for Commercial "C" applicators)
2 - Forestry
3B - Ornamental
6 - Right-of-Way
Core
Your information will NOT be used or distributed outside this form.
Would you like to be contacted regarding MAEAP or other Arenac Conservation District programs after this event?
*
Yes
No
Select your preferred method of contact
Phone
Email
No Preference (either)
Any Additional Comments?
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