Information Form
Local Products Directory 2017-2018
Buy Algoma. Buy Fresh.
$65+HST ($73.45)
for 2 years
Please return form and payment by March 31st 2017 (cheques payable to Sault Ste. Marie Innovation Centre) to:
David Thompson
P: 705-942-7927 ext. 3027
c/o Rural Agri-Innovation Network
F: 705-942-6169
Sault Ste. Marie Innovation Centre
[email protected]
1520 Queen St. E. Suite CC200
Sault Ste. Marie, ON
Additional Questions/Comments contact:
P6A 2G4
Mikala Parr: 705-942-7927 ext.3024
[email protected]
Last Name:
First Name:
Organization/Business/Farm Name (if applicable):
Address:
Address:
City:
E-mail address:
Postal Code:
Website:
Phone Number:
What best describes your involvement in local food? (Select all that apply)
Producer/Farmer
Restaurant/Caterer
Retailer
Consumer
Certified organic
Wholesaler
Other (please specify):
If you identified yourself as a restauraunt, what local products and producers are you sourcing from? (Name a
minimum of three producers with the products you buy)
Where is your product available?
Farm gate
Johnson Farmers’ Market Desbarats
CSA
Delivery
Algoma Farmers’ Market
U-pick
Mill Market
Farmers Market (please specify):
Other retailer (please specify):
CSA Serving: Please
check all that apply.
___Blind River
___Bruce Mines
___Echo Bay
___Elliot Lake
___ Iron Bridge
___Sault Ste. Marie
___St. Joseph Island
___Thessalon
If you indicated that your product is available in more than one location, which is your preferred point of sale?
(Continued on back)
Farm Gate
What days are you open?
What months are you open?
Would you like customers to call ahead?
What products do you offer? (Check all that apply)
Fruit (tree fruit
, berries
, rhubarb
soybeans
); Leafy Greens (lettuce
rutabagas
, onions
broccoli
, kale
melons
, squash
Other: Asparagus
, garlic
); Herbs
, spinach
, leeks
, Brussel sprouts
; Vegetables (beans
, swiss chard
, radishes
, kohlrabi
); Nightshades (tomatoes
,
); Root vegetables (turnips
, carrots
, cabbage
, peas
; Brassicas (cauliflower
); Cucurbits (cucumber
, eggplant
, potatoes
,
,
,
, peppers
);
, corn
Other fruits/vegetables:
Meat (beef
, elk
Poultry (chicken
Dairy (milk
Honey
sauerkraut
, goat
, turkey
, yogurt
/ Maple Syrup
) Grains
, pork
, duck
, cheese
, lamb
, partridge
)
, deer
, emu
);
Eggs
/ Preserves (cider
, Flour
, rabbit
, bison
)
Fish
Other:
, jam
, Baked Goods
, pickle
, relish
, salsa
,
Other:
Do you agree to enter the above information into the printed directory? YES
NO
Do you agree to enter the above information into the online directory?
YES
NO
Do you want to be displayed on a map with other local food producers? YES
NO
*Are you interested in selling your product(s) online through an online/web interface? YES
NO
*Are you interested in receiving information about purchasing a larger advertising space in the printed directory?
YES
NO
* Are you interested in having your info on an iPhone mobile app?
YES
NO
Do you have any additional comments about the directory?
*If yes, the Rural Agri-Innovation Network will contact you to verify this information.