Giveaway Entry Form Name * First Last * Last Business/Farm Name (if applicable) Address City State ZIP code Email * Phone * What event did you attend? Corn Soy ExpoCVHBAEau Claire Farm ShowFarm Tech DaysWASBWI State FFA ConventionWPSWSBA Select all divisions you currently do business with at ALCIVIA: Agronomy Animal Nutrition Energy Grain Country Store Verity Business Solutions None Submit If you are human, leave this field blank.
