S T A T E O F C O N N E C T I C U TDEPARTMENT OF AGRICULTURE

Agricultural Development Unit

2016 EXPERIENCE CT DAIRY PRODUCTS WEBSITE LISTING**Applicable only if you produce dairy products (milk, cheese, soaps from milk, etc.)

FARM NAME

YOUR NAME

FARM ADDRESS

TOWN STATE ZIP

MAILING ADDRESS (if different)

PHONE NUMBER FAX NUMBER (with area code)

COUNTY E-MAIL

WEBSITE

TYPE OF DAIRY ______Cow Sheep _____ Goat ______Other______

CHECK ALL DAIRY PRODUCTS YOU OFFER: _____milk ____cream/half&half____ ice cream ____ soap _____ cheese ____ other __________________________

BRIEF DESCRIPTION IN LESS THAN 200 CHARACTERS(Please print or type neatly, spaces count as one character. Descriptions over 200 characters will be edited)

** Please Note ** Ice cream/gelato can only be listed if it is CT Made Ice Cream/Gelato. Soft serve does not qualify.

An Equal Opportunity Employer

S T A T E O F C O N N E C T I C U TDEPARTMENT OF AGRICULTURE

Agricultural Development Unit

This information should be returned by May 31, 2016 for best results, either by fax (860-730-8322) email or U.S. Mail:

Jane.Slupecki@ct.gov CT DEPT OF AGRICULTURE,165 CAPITOL AVENUE, Rm 127 HARTFORD, CT 06106

An Equal Opportunity Employer