Full Name
Phone
*
Email
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What is your Crop Type? (You can select more than one)
*
Select from the dropdown
Tomatoes
Carrots
Leafy greens (spinach, lettuce, cabbage)
Beans / Dry beans
Chillies / Peppers
Baby marrow
Sweet potato
Maize / Grains
Other
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What is the size of your operation?
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Select from the dropdown
Under 0.5 hectare
0.5 – 1 hectare
1 – 5 hectares
5 – 20 hectares
20+ hectares
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Preferred Contact Method
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Select from the dropdown
Phone Call
WhatsApp
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When would be a convenient day for us to contact you?
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When would be a convenient time for us to contact you?
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