ASFLogo250X66.GIF (9625 bytes)

I want to receive the American Small Farm magazine.
Yes! Send me a sample issue - $2.50 to pay for postage & Handling.
Yes, start my subscription and bill me for one year at $18.
Yes, start my subscription and bill me for two years for $30.
Can use Visa or Mastercard Call Toll free number: 888-204-7828 or Send Check or Money order to:
American Small Farm
Attn: Circulation Dept.
267 Broad Street
Westerville, OH 43081
Telephone: 614-895-3755
Fax: 614-895-3757

First Name:
Last Name:
Company:
Address 1:
Address 2:
City:
State:
Zip:
Phone:
1. Do you own, and/or operate a farm/ranch? Yes No
2. Total Farm Acres:
3. Row crops Acres:
4. Vegetables Acres
5. Hay/Forage Acres
6. Trees/Orchards Acres:
7. Vines Acres:
8. What kinds of animals do you raise?:
9. What kinds of pets do you have?:
10. Do you market/sell farm products? Yes No
11. Do you earn income off the farm? Yes No
12. Age? 18-25 26-49 50-65 66+
13. Do you own a tractor? Yes No
14. Do you plan to purchase a tractor within the next 12 months? Yes No
15. Do you own a truck? Yes No
16. Do you plan to purchase a truck within the next 12 months? Yes No
17. Do you own an ATV? Yes No
18. Do you plan to purchase an ATV within the next 12 months? Yes No
19. Do you plan to add a building(s) within the next 12 months? Yes No
20. How many vehicles and/or equipment do you plan purchase tires for? __________
After completing the form copy it and paste it into your email. Email to: info@smallfarm.com