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First Name
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Last Name
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Email Address
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Contact Number
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Alternate Contact Number
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Location
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County of residence
Town
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What’s your current business type?
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Poultry farm
Agrovet/Agrochemical store
Farm equipment & Machinery store
Animal feeds store
General merchandise
Free lance
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What is the name of your business?
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Enter business name.
Preffered mode of supply
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Do you have a business permit/Is your business registred?
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How far from your local home town can you facilitate supply to farmers around your region?
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Enter distance in KM’s
Which breed performs sells more in your region?
*
Ug Kuroilers
Sasso
Rainbow rooster
Kenbro
COBB 500 Broilers
Layers
Cockerels
How many chicks on average do you sell monthly?
*
50-200
200-500
500-1000
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Have you ever purchased chicks from Adweek chicks before?
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Direct us to your business premise
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Enter specifics such that a new farmer coming to your business for the first time would not get lost.
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