Wild Blueberry Newsletter Request Form

Please complete the request form below if you would like to receive our wild blueberry newsletter and other pertinent blueberry information. Thanks for helping us keep you well informed about current wild blueberry issues!

Date:

First Name:    Last Name:

Business or Company Name:

Mailing Address:

City:   State/Province:    Postal Code:

Country:  

Please select the "Maine" county and/or counties were your blueberry fields are located (in order to select more than one county, you will need to hold down the "Control" key while making your selection).  

  Please select one Androscoggin Aroostook Cumberland Franklin Hancock Kennebec Knox Lincoln Oxford Penobscot Piscataquis Sagadahoc Somerset Waldo Washington York

Home Phone:   Work Phone:   Cell Phone:

Email Address:

Seasonal address and telephone information:  (Note: You must keep us abreast of all address, seasonal address, telephone, and email changes in order to remain on our mailing list. Mail returned as undeliverable or temporarily away, will be removed from our mailing list.)

 

Are you a blueberry grower?

Are you an organic blueberry grower? 

Are you organic certified?

Do sell fresh-pack blueberries? 

Please indicate how you would like to receive the wild blueberry newsletter (please select only "one" option). 
Mail    E-mail

Please use the box below to add additional information or comments.

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