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External Service Request Intake Form


The Federation of Southern Cooperatives/Land Assistance Fund (the Federation) is a 58-year-old nonprofit cooperative association dedicated to supporting Black farmers, landowners, and cooperatives.

Thank you for your interest in accessing services from the Federation of Southern Cooperatives/Land Assistance Fund. To proceed, please complete the Service Request Intake Form. A member of our staff will reach out to you about your request within 5-7 business days.
What is your first name?
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What is your last name?
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* Please select your state
What is your email?
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What is your phone number?
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Please identify the option that best describes you
Please identify the focus area your request falls under
Please briefly describe your request
0/500
If you have a primary point of contact at FSC/LAF please list below
0/500
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