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IDALS FRUIT AND VEGETABLE DIRECTORY - REGISTRATION FORM
  Account Holder Information
User Name 
Password Required Field      [Minimum 6 characters long and can have only alphabets and numbers]
Confirm Password  
First Name 
Last Name 
Street Address 
City 
State 
Zip 
County 
E-mail Address   (ex: pat@example.com)
Phone Number   (xxx-xxx-xxxx)
Fax Number   (xxx-xxx-xxxx)
  Business Profile
Farm/Business Name 
Website  
My farm/business is on     Facebook    Link :
  Twitter          Link :
Approximate acreage of all fruits and veg crops combined     [Note that 1/4 acre = 10,890 sq. ft.; 1/2 acre = 21,780 sq. ft.; 3/4 acre = 32,670 sq. ft.; 1 acre = 43,560 sq. ft.; Farm size will not be published.]
Do you have any 'on farm' processing?   Yes No
Do you have an 'on farm' safety plan?  
(such as written plan, employee training, food handling procedures) 
Yes No
Do you have any value added products?   Yes No
Are you certified?  
  Organic
  GAP
  Licenced Food Processing Facility
  Grown Naturally
Name of Certifier
Name of Certifier
Name of Certifier
Name of Certifier
Features, Facilities & Equipments  
[not for consumer use] 
  Licensed Kitchen
  Public Restroom
  Walk-in Coolers
  Washing/Grading Equipment
  Loading Dock
  Refrigerated Delivery Truck
  Located on Highway
  Located within 2 miles of highway
  Orchard
  Vineyard
  Parties/Weddings
  Tours
  On-Farm Market
  Seasonal Events/Activities
  Ready-to-eat Food
  Playground
  Picnic Area
  Handicap Accessible
  Debit card capability
Agri-tourism activities
  Admission Fee
  Special Events & Activities
  Petting Zoo or observation barnyard
  Concessions
  Mazes
  Hay Rack Rides
  Gift Shop
  Group Tours
Any comments or additional information regarding your operation  
  Crops Information
[Please select atleast one crop. If you select the 'Method of Sale' as 'Schools' for any crop, you can apply for the 'Iowa Farm to School Program' too.]
  Crop Type * Crop Name * Growing Method * Final Product Form * Method of Sale * Pounds (*only for schools )
1.
Fresh
Bottled
Dried
Packaged
Frozen
Jams/Jellies
Prepared
Salsa
Sauces
Other
Baked Goods
Wine
Cider/Juice
On-farm Store/Stand
Farmers Market
Health Care Facility
Speciality Food/Grocery Stores
Restaurants
CSA
Food Processors
Delivery
Produce Auction
Brokers/Distributors/Wholesalers
Schools
University
U-pick
 lbs
2.
Fresh
Bottled
Dried
Packaged
Frozen
Jams/Jellies
Prepared
Salsa
Sauces
Other
Baked Goods
Wine
Cider/Juice
On-farm Store/Stand
Farmers Market
Health Care Facility
Speciality Food/Grocery Stores
Restaurants
CSA
Food Processors
Delivery
Produce Auction
Brokers/Distributors/Wholesalers
Schools
University
U-pick
 lbs
3.
Fresh
Bottled
Dried
Packaged
Frozen
Jams/Jellies
Prepared
Salsa
Sauces
Other
Baked Goods
Wine
Cider/Juice
On-farm Store/Stand
Farmers Market
Health Care Facility
Speciality Food/Grocery Stores
Restaurants
CSA
Food Processors
Delivery
Produce Auction
Brokers/Distributors/Wholesalers
Schools
University
U-pick
 lbs
Add another crop Add another crop
  Future Opportunities
Are you interested in selling products to schools?   Yes No
Are you willing and able to expand production to meet specific buyer's needs?   Yes No
Are you interested in selling produce to brokers and distributors/whole salers?   Yes No
Are you willing to pool products with other growers to sell to buyers?   Yes No
Are you interested in implementing a food safety plan on the farm?   Yes No
  Contact Us
 
The Iowa Department of Agriculture and Land Stewardship is surveying fruit and vegetable growers to compile information on production and marketing of fruits and vegetables in Iowa. Information collected may be used in various materials including on-line directories, brochures and other marketing materials that highlight and promote Iowa agriculture. This information may be made available to consumers and distributors as a resource to locate Iowa-grown produce. The Department reserves the right to determine eligibility for inclusion in any marketing material. Do not provide any information that you would not want posted.
If you have any questions, please contact:
Tammy Stotts
Iowa Department of Agriculture and Land Stewardship
Agricultural Diversification and Market Development Bureau
502 East 9th Street
Des Moines, IA 50319

E-mail: tammy.stotts@iowaagriculture.gov
Telephone: 515-281-7657



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