Questionnaire for interested Landowners Contact Information Full Name : Mailing Address: Phone Number : Alternate Phone Number : What is the most convenient time for us to contact you? 8:30am to 12:00pm    12:00pm to 5:00pm   5:00pm to 9:00pm      You will Contact Us.   Land Information How many acres do you have: Lot# : Concession : Municipality : 911# : What type land use of the acreage Cash Crop Pasture Woods Creek/Swamp Covering All Half Quarter Unsure Do you have residence on the parcel? yes / no Do you have a severance? yes / no Any additional information you'd like or questions: If you have more land or concerns that you would be interested in have optioned please contact Jackie Rosart

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