Direct-to-Consumer Form

Are you an Indiana Farm Bureau member who sells products directly to consumers? If so, please complete the form below to be included on our lists of local farms owned and operated by INFB members selling directly to consumers. These lists will be published and promoted on the INFB website and My Indiana Home website, INFB’s quarterly magazine, so that consumers will know how to contact you. If you have questions, please reach out to Garrett Kelly at gkelly@infb.org.

Please fill out this form with your direct-to-consumer operation’s information. If the address for your operation is separate from your home address, please use the business address. The information submitted will be published on the INFB website and My Indiana Home website, INFB’s quarterly magazine.

First Name:

Last Name:

Are you an Indiana Farm Bureau member?

Yes

No

Operation Name:

Operation Website or Facebook Page:

Operation Category (Check all that apply).

Agritourism
Artisan Products (Soap, Oil, Yarn, Candles, etc)
Beverage
Honey, Syrup or Sauce
Produce/Horticulture
Protein
Seasonal (Christmas Trees, Pumpkin Patch)

What products do you sell?

Address:

City:

State:

Zip Code:

County:

Email:

Phone Number:

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