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Name*

First Last

Business name (if applicable)

Email*

Phone*

Business Mailing Address

Street Address Address Line 2 City State ZIP Code

What state are you in?*

Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont
Other (we do not offer services outside of New England, but we may be able to offer referrals to lawyers outside our region)

Where did you hear about the Legal Food Hub?*

Check all that apply. Please provide specifics in "other" box.

Other:

Has your business or organization obtained legal services in the past?*

Please enter your preferred language, if other than English:

What is your gender?*

Please check all that apply.

What are your preferred pronouns?

Please let us know what your preferred pronouns are.

What is your age?*

What race do you identify with (check all that apply)?*

Are you a...*

Total acres owned/leased

Acres operated

What was your business' gross revenue in the previous tax year? (Note: this question does not apply to non-profits)

What was your business' net income in the previous tax year? (Note: this question does not apply to non-profits)

Does your Household Income meet the Legal Food Hub's eligibility criteria?

Summary of your legal issue:*

Please include any pertinent deadlines related to your issue

Welcome to the Legal Food Hub!