Register for Indiana Grown 1) Register for Indiana Grown-new Legal Business Name * Display Name * The display name will be visible on Indiana Grown's website First Name * Last Name * Phone Number * Email * Please use a business email. This will be featured in our member directory as a means of contacting you. Would you like this phone number to be visible on your public profile? * Yes No Would you like this email to be visible on your public profile? * Yes No Are there any additional emails we should send announcements to? Please separate multiple emails by comma. Physical Address * Physical Address Physical Address Physical Address Physical Address Physical Address Physical State AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Physical Address County * Please include only county name, i.e., "Hamilton." For counties outside of Indiana, please use "Outside Indiana" Is this location open to the public? * Yes No Mailing Address * Mailing Address <span style="font-weight:700;color:#B94A48;font-size:15px;">*</span> Mailing Address <span style="font-weight:700;color:#B94A48;font-size:15px;">*</span> Mailing Address <span style="font-weight:700;color:#B94A48;font-size:15px;">*</span> Mailing Address <span style="font-weight:700;color:#B94A48;font-size:15px;">*</span> Mailing Address <span style="font-weight:700;color:#B94A48;font-size:15px;">*</span> State AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Mailing Address <span style="font-weight:700;color:#B94A48;font-size:15px;">*</span> Select all Categories that best represent the products you sell OR your organization type * Agritourism Body Care & Candles Craft Beverages Crops Farmers Market Food & Beverage Hardwood Indiana Grown Partner Livestock Meat Processing Facility Produce Restaurant/Food Truck Retailer Seafood Vermiculture Select all Categories that best represent the products you sell OR your organization type * Agritourism Body Care & Candles Craft Beverages Co-Packer Crops Farmers Market Food Hub Food & Beverage Hardwood Hemp Home & Garden Hops Indiana Grown Partner Livestock Meat & Seafood Meat Pet Accessories and Treats Processing Facility Produce Restaurant/Food Truck Retailer Seafood Vermiculture Select all Subcategories that apply for your organization * Select all Subcategories that apply for your organization Adventure Attraction Adventure Courses Adventure Tours Aerial Recreation Baked Goods & Sweets Bath & Body BBQ Sauce Breweries Brewery Christmas Tree Farm Cideries & Meaderies Cidery Distilleries Distillery Meadery Condiments Cabinetry Cheese Dairy Products Coffee Dairy Cattle Dried Foods Event Venue Farm Attractions Farm Stays/B&B Farm Store Flooring Gardens/Nurseries Hemp Herbs & Spices Honey Hops Horse Farm/Racing Hot Sauce Ice Cream Livestock Museum Maple Syrup Milk Orchard/Maze/U-Pick Non-Alcoholic Beverages Pickled Products Popcorn Prepared Foods Spice Blends Hay Snacks Spreads & Preserves Syrup Field Corn Hay & Straw Hay Straw Livestock Feed Sorghum Soybeans Trail Ride Wheat Christmas Trees Compost Fiber Products Flowers Hardwoods & Furniture Household Supplies Lumber Pet Supplies Plants & Seeds Alpacas Beef Beef Cattle Bison Emu Equine Fish & Shrimp Goat Honeybees Lamb Llamas Peafowl Pork Rabbit Chicken Duck Eggs Quail Rabbits Sheep Swine Turkey Dried Fruits Dried Vegetables Edible Plants & Seeds Fresh Fruits Fresh Vegetables Frozen Fruits Frozen Vegetables Mushrooms Nuts Wild Produce Wood Furniture Woodworking Agritourism Partners Restaurants Retail Stores State Inspected USDA Inspected Wineries Winery Yogurt Zip Lining OtherOther If your product or organization does not fit within any of the above categories, provide more information: What vegetables do you grow? What fruits do you grow? Where is your product sold? * List/Describe all items you sell How many acres do you farm (if actively farming)? Are you currently exporting outside of the U.S. or interested in exporting? * Yes, exporting Yes, interested Not interested What 3rd party audits have you completed? * How do you distribute your product(s)? * - Please Select One or More Options -DistributorSelf-distributed Who is the distributor? * Are you a veteran of the Armed Forces? * - Please Select One or More Options -NoneArmyNavyMarinesAir ForceNational GuardCoast Guard Are you a home-based vendor (HBV)? * Yes No Do you use a commercial kitchen? * Yes No Commercial Kitchen Name & Location * Do you use a Co-Packer? * Yes No What is the Co-Packer name & location? * Why are you interested in joining Indiana Grown? * Business Website: Business Facebook URL: Business Instagram URL: Description of your business * Upload profile photo Drop a file here or click to upload Choose File Maximum file size: 15MB The following self-identifying questions are voluntary and not required for membership consideration. We request this information to help us better understand and serve our members. Answer the following questions about the primary owner/operator the farm or business listed on this application: What is your race / ethnicity? Asian Black or African American Hispanic/Latino Native American/Alaskan Native Hawaiian/Pacific Islander White Prefer Not to Answer OtherOther Do you want a BIPOC (Black, Indigenous, People of Color) distinction included on your directory profile? Yes No What is the gender with which you primarily identify? Male Female Prefer Not to Answer What is your age? < 18 18-30 31-45 46-55 56-65 66-75 > 75 Prefer Not to Answer Is your business a certified Minority Business Enterprise (MBE)? Yes No N/A Is your business a certified Women-Owned Business Enterprise (WBE)? Yes No N/A Are you a first-generation farmer? Yes No What generation are you? I agree to Indiana Grown's Terms & Conditions * Yes Signature * Clear Captcha Submit If you are human, leave this field blank.