WebGrants - Vermont Agency of Agriculture, Food and Markets

Please note that fields in red font with an asterisk indicates a required field. Any non-required, black font, fields can be skipped.

Please note that fields in red font with an asterisk indicates a required field. Any non-required, black font, fields can be skipped.
Name First Name Middle (optional) Last Name
Title
If Other Title, please indicate
E-mail
Physical Address
City State/Province Zip Code
Mailing Address
Address Line 2
City State/Province Zip Code
Phone ###-###-#### Ext.

Organization Name
Organization Type
Are you registered as a business with the State in which you do business? YesNo
If you are registered as a business with the State of Vermont, enter the 7 digit numerical Vermont Secretary of State Business ID Number for your business
If you know it, please enter your 12 digit (letters and numbers) Unique Entity Identifier (UEI) as assigned from Sam.gov
Organization Website
Organization Address
City State/Province Postal Code/Zip
Select the Vermont County in which you do business or select �Outside Vermont� from the bottom of the picklist. Ext.
Organization E-mail Address
Organization Phone