Free Cucumber Seed Program
Name (required)
*
First Name
Last Name
Email (required)
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Would you like to receive free cucumber seeds and growing instructions?
*
YES, I will pick them up at my chosen location below between May 6 and May 20.
Please choose your desired pickup location.
*
Dyersville James Kennedy Public Library
Dubuque Carnegie Stout Public Library
Cascade Public Library
Asbury location of the Dubuque County Library District
Epworth location of the Dubuque County Library District
Peosta location of the Dubuque County Library District
Farley location of the Dubuque County Library District
Holy Cross location of the Dubuque County Library District
Dubuque County Extension Office
Would you like to receive other garden related information not related to cucumbers from the Dubuque County Extension Office?
*
Yes
No
Do you wish to disclose your race, gender, ethnicity?
*
Yes
No
What is your gender?
Female
Male
Prefer not to say
What is your race?
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Other
Prefer not to say
What is your ethnicity?
Hispanic/Latino/Spanish Origin
Not Hispanic/Latino/Spanish Origin
Prefer not to say
Please choose below the option that best describes where you live.
Farm
Rural (village under 10,000)
Town (population between 10,000 and 50,000)
Suburb of a City (Population 50,000+)
Central City (Population 50,000+)
Submit
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