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Intake form
Help us serve you better
Name
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Email address
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What is your role in the agricultural industry?
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Select
Farmer
Distributor
Buyer
Cooperative
Government
Financial Institution
Logistics Provider
What type of products do you deal with?
*
Please select at least one option.
Fruits
Vegetables
Grains
Dairy
Meat
Poultry
What is your preferred method of communication?
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Select
Email
Phone
In-person
Messaging App
What is your location?
*
What is the size of your operation?
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Select
Small (1-10 acres)
Medium (11-50 acres)
Large (51 acres and above)
Livestock's
1-10
11-50
51 and above
What logistics services do you require?
*
Please select at least one option.
Transportation
Warehousing
Cold Storage
Inventory Management
Distribution
Renting Out Equipment's
Renting Equipment'S
What specific features are you interested in?
*
Please select at least one option.
Pricing Transparency Tools
Marketplace Matching
Data Analytics
Secure Payment
Transaction Management
How did you hear about Farm-Ily?
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Select
Social Media
Referral
Online Search
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Additional questions or comments
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