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National Black Growers Council Grower Information
Information Use: The mission of the National Black Growers Council is to improve the efficiency, productivity, and sustainability of Black row-crop growers. To accomplish this goal, grower information is needed in order to better assess its members’ needs. Grower confidentiality and privacy will be maintained throughout the process. Please complete:
Grower Name*
First Last
Farm Name*
Email*
Enter Email Confirm Email
Cell Phone*
Business Phone*
Home Phone
Street Address*
Street Address Address Line 2 City State ZIP Code
Other Farm Owners

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Membership Dues
2021 Membership*
For 2021, no membership dues are being collected per direction of the NBGC board of directors.

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Livestock Information
Livestock (Please check the livestock produced on your farm.)*
- Cows
- Poultry
- Swine/Hogs
- Horses
- Sheep/Goats
- Other
If no livestock, please choose Other and enter 0.
How many total cows?
Please enter a value greater than or equal to 0.
How many poultry (total)?
Please enter a value greater than or equal to 0.
How many hogs/swine (total)?
Please enter a value greater than or equal to 0.
How many horses (total)?
Please enter a value greater than or equal to 0.
How many sheep/goats (total)?
Please enter a value greater than or equal to 0.
How many other livestock (total)?
Please enter a value greater than or equal to 0.
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Name
This field is for validation purposes and should be left unchanged.

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National Black Growers Council Grower Information