Country Farm and Home Delivery Survey

We are interested in expanding our NC farm delivery routes.  Let us know your needs, and we may start delivering in your area.  Priority will go to agrarian communities with the largest customer demand.   
1.Farm Name & Your Name
2.Email Address & Phone Number
3.Requested Delivery Location / Address
4.What are you interested in us delivering?  Check all that apply.
5.Estimate your average order size.
6.How many times a year do you predict needing delivery?
7.Select the month(s) in which deliveries would be most useful.
8.Do you have a working tractor with forks?
9.Would you be interested in hosting a group delivery stop?
10.Are there farms near you that are also interested in our delivery service?  If so, who?