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Email address
Fullname
Phone number
Referred By
Gender
Choose an option
Male
Female
Farm Address
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Number of birds your pen can accomodate?
Number of birds you need?
Owner of Pen
Choose an option
Rented
Self-Owned
Preferred Day old chicken (DOC)
Choose an option
Zartech DOC
Mustykay DOC
Ajila DOC
Agrited
Others
How long have you been farming (years)?
How did you hear about us?
Choose an option
A friend/family
Farmer within the programme
Mustykay
Social Media
My cooperative
Others
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