Pollinator Seed Order Form
The Jackson County Farm Bureau and SWCD are doing another seed distribution program. This year the program plans to give away 150 pounds of seed. The Jackson County Farm Bureau will determine the amount of seed based on the appropriate acreage reported. To receive seed, an active Farm Bureau membership is required. To check the status of your membership, you can call our office at (618) 684-3129. Orders are due March 30th, 2026. Filling out an order form does NOT guarantee you will receive pollinator seed.
Full Name
*
First Name
Last Name
Phone Number
*
Mobile Phone number
E-mail
*
example@example.com
Mailing Address
*
Where is the physical address of the plot you plan to use the seed at?
*
Size of pollinator plot?
*
Pounds of seed being requested? (Max amount is 5 lbs per applicant)
Why are you interested in planting a Pollinator Plot?
*
Are you a Jackson County Farm Bureau Member?
*
Yes
No
How did you hear about this program?
Social Media
Newspaper Publication
Post Card
Other
Submit Order
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