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CASSAVA STEMS REQUEST FORM
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* Indicates required question
Name
*
Your answer
Gender
*
Male
Female
Age
*
Your answer
Phone number
*
Your answer
Email address
Your answer
Location (State, LGA, Town)
Your answer
Size of farmland ready to be planted
Indicate in acres or hectares
Your answer
Variety
TME 419
Dixon
Farmers Pride
Fine Face
Ayaya
Purpose
*
Cassava production
Commercial stem production
Foundation seed production
Required
Date stems should be delivered
Your answer
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