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The Hemp Mine - Customer Discovery
This form is meant to formally connect The Hemp Mine with potential customer partners.
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Email
*
Your email
Welcome! We are excited that you have chosen to work with us.
Company Name
Your answer
First Name
Your answer
Last Name
Your answer
Job Title
Your answer
Billing Address (Street, City, St, Zip)
Your answer
Shipping Address (Street, City, St, Zip)
Your answer
Email
Your answer
Phone Number
Your answer
Preferred Payment Method
Cash
Check
Credit Card
ACH
Clear selection
Are you a field Hemp Farmer?
yes
no
Are you a Greenhouse Grower
yes
no
If a Greenhouse Grower - how many ft2 of production for hemp?
100 - 500
500 -1,000
1,000 - 3,000
3,000 - 5,000
5,000 - 10,000
10,000 - 50,000
50,000 - 100,000
100,000 - 1,000,000
Not a Greenhouse Grower
How many acres do you plan to farm in 2020?
1-5
6-10
11-20
21-40
41-50
50-100
100-300
300-500
500-1000
Not a Field Farmer
What are you concerned about - State THC reg?
Total THC
Only Delta -9
Which product are you interested in?
Liners (rooted clones)
Cuttings (un-rooted clones)
Both
Stage III -Tissue Culture
Do you know your desired quantity of product you need? If no, please just say no and if yes please share a quantity.
Your answer
Which state are you located in (abbreviation)?
Your answer
Which country are you located in?
Your answer
Do you have multiple facilities?
Yes
No
Clear selection
How did you hear about us?
LinkedIn
Instagram
Word of Mouth
Field Day Event
Conference or University Field Day
Facebook
What are you producing Hemp for?
CBD oil
Other extracts and CBD oil in general
Smokable flower - shelf flower
Textiles/fiber etc..
Other:
Field Days Trials: RSVP
Yes - I want to participate
Other extracts and CBD oil in general
Smokable flower - shelf flower
Textiles/fiber etc..
Other:
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