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Grower Information

Name

First Last

Entity Name

Address

Street Address City State ZIP Code

Phone*

Email*

Crops Farmed

Acres Farmed

Crop Insurance Provider (if known)

Crop Insurance Agent/Agency

ProAg Policy Number(s) if applicable

Which types of Precision Ag systems and services do you currently utilize?

Which types of Precision Ag systems and services are you interested in having provided in the future?

How prepared are you currently in your ability to provide accurate Precision Ag data for acreage reporting to your agency?

How prepared are you currently in your ability to provide accurate Precision Ag data for production reporting to your agency?

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