Thank you for your interest in our drip irrigation kits. Please take a few minutes to fill out this brief form and a member of our team will be in touch with you with more information about our drip kits. Thank you! 

Please complete the following

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* 1. Please complete the following

Which best describes you?

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* 2. Which best describes you?

How did you hear about our drip kits?

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* 3. How did you hear about our drip kits?

Why are you interested in drip irrigation? (select all that apply)

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* 4. Why are you interested in drip irrigation? (select all that apply)

How far do you have to walk to access water?

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* 5. How far do you have to walk to access water?

How are your crops currently irrigated?

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* 6. How are your crops currently irrigated?

What size is the plot of land you farm on?

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* 7. What size is the plot of land you farm on?

What size kit are you interested in?

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* 8. What size kit are you interested in?

What types of crops you would irrigate using the drip kit?

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* 9. What types of crops you would irrigate using the drip kit?

Please list any comments or questions you have for our team.

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* 10. Please list any comments or questions you have for our team.

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