2021 West Demo Sign Up

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* 1. Tell us about yourself:

Name

Company

Mailing Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. What is your job role?

Grower

Independent Adviser

Retail Adviser

Other (please specify)

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* 3. What crops do you work with? (please list)

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* 4. How many acres do you watch?

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* 5. How often do you use/recommend ADAMA products?

Very Often

Sometimes

Not Often

Never

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* 6. How likely are you to recommend ADAMA to your colleagues? (1 = unlikely, 10 = very likely)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 7. Do you trust ADAMA as a company?

Yes

Not enough info

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* 8. What's a regulation you wish you knew more about?

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* 9. What's your biggest pest problem?

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* 10. Can a Sales Rep contact you to set up your free product?

Yes

Thank you very much for participating in our questionnaire.

Please remember, only growers/advisers responsible for 50+ acres will be considered for our free product giveaway.