RVL Submission Survey

Farm or Business Name?

Contact Person



State/Zip Code

Phone Number
Do you wish to have your address included in the directory?

Would you like to be listed in the New River Valley Directory?

Do you wish to have your Farm/Business located on a Locavore map ( If so, please make sure you provide a physical address in the address section?)

Months of Operation

Hours of Operation

What is your business's website?  (  Not facebook or twitter, enter that a little further down.)

Contact or Business email?

Social Media ( This is where you can list your facebook or twitter link, or any other media you use.)

You can choose more than one list something else in "Other"

Business Description  

Do you wish to be a sponsor?


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