Print this form, then complete the form as accurately and comletely as possible. Send the completed form to your local county agent. All fields marked in red or with a "*" are requried.
*Resource name:	__________________________________
*Hours of operation:	__________________________________
Web address:	__________________________________
*County:	__________________________________
*Brief description:   (no more than 80 words )	______________________________________________________ ______________________________________________________
Directions:   (no more than 300 words)	______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________
*Owner name:	__________________________________
*Address line 1	__________________________________
Address line 2	__________________________________
*City	__________________________________
*State	__________________________________
*Zip	__________________________________
E-mail:	__________________________________
Phone:	__________________________________

Detailed Information about the Business
*What type of business is it?	Farm Fresh Agriculture     or     Environmental Experience
*Select all the categories that apply to your business:
Farm Fresh Agriculture
U-Picks      Apple      Bell Peppers      Blackberries      Blueberries      Cabbage      Cantaloupes      Carrots      Cucumbers      General      Grapes      Muscadines      Nectarines      Other Fruits and Nuts      Other Vegetables      Peaches      Pole beans      Pre-Picked Available      Pumpkins      Snap beans      Squash      Strawberries      Sweet Corn      Tomatoes      Watermelon Road Side Stands      Apples      Bell peppers      Blackberries      Blueberries      Cabbage      Cantaloupes      Carrots      Cucumbers      Eggplant      Field peas      General      Greens      Honey      Jams and Jellies      Lima beans      Muscadines      Nectarines      Okra      Onions      Other Fruits and Nuts      Other Vegetables      Peaches      Pecans      Peppers      Pole beans      Pumpkins      Snap beans      Squash      strawberries      Sweet potatoes      Sweet corn      Tomatoes      Vidalia      Watermelons      Zucchini	Family Fun      Animals      Christmas Tree Farm      Corn Maze      Festival      Festivals      General      Hay Rides      Petting Zoo      Picnic Area      Pumpkin Patch      Row Crops      Vegetables or Fruits      Wineries Educational Agriculture      Animals      Fruits or Vegetables      General      Hay Rides      Petting Zoo      Row Crops      School Groups Welcome      Tours      U-Pick
Environmental Experience
Boating       Pedal boating      Canoeing      General      Kayaking      Motor boating      Sail boating Camping      bathrooms      Bicycling      cottages      electrical and water hookups      General      Group Shelter      Nature Programs      Recreational Vehicle (RV)      Swimming Pool      Tent      Trailer Guide Services      Bird Watching      General      Mountain hiking      Nature Programs	Hiking and Wildlife      Bird watching      Fishing      General      Nature trail      Picknicking Horses      General      Trail riding Hunting and Fishing      Deer hunting      Dove hunting      Duck hunting      General      Lake/pond fishing      Marine fishing      Quail hunting      Rabbit hunting      Stream/River fishing      Turkey hunting