Inputs Directory: Referral and Consent Form

An OFA member must recommend your business. They can either fill out the Member Referral Form first, or you can ask for their permission to enter their information in this form.

OFA Member Contact Information

This section will not be visible in the Directory.

Farm Name First Name * Email *

Member Number * Last Name * Phone #

Referral Consent The OFA Member consented to be used as a referral. I understand that they may be contacted to confirm.

FARM INPUT CATEGORY

Category *

If Other

Add another category

BUSINESS INFORMATION

Company Name * Phone *

Toll Free Fax

Email Address Line 1 Address Line 2 City *

County/Region *

Not sure what county/region you are in? Please Click Here.

Province * Ontario Postal Code
Website

Add Logo(s)

Maximum file size is 1MB, target size is 200x200
Image types allow: png, jpeg, bmp or gif

Logo Upload

Contact Information

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First Name * Last Name *

Email *

Print Version Listing I am interested in listing my business in a printed version.

Terms and Conditions I have read and agree to the Terms and Conditions.

Submit

By clicking 'Submit' I consent to receive commercial electronic messages from the OFA in regards to the Farm Input Directory. I understand that I may withdraw my consent at any time by emailing farminputs@ofa.on.ca.

Ontario Federation of Agriculture
100 Stone Road West, Suite 206
Guelph, ON N1G 5L3
Toll-Free: 1 (800) 668-3276
www.ofa.on.ca