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I am a:

Farm Manager/Owner
Farm Operator
Crop input or equipment retail salesperson
Crop input or equipment manufacturer rep
Consulting agronomist
Other

* First Name:
* Last Name:
Farm/Business:
* Box or Street:
* Town/City:
* Prov/State:
* PC/ZIP:

* Phone:
Cell Phone:
Fax:
* Email:

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Total Acreage:

0 - 500	500 - 1,000	1,500 - 3,000	3,000 - 6,000
6,000 - 10,000	10,000 - 15,000	15,000 +

Crops:

Livestock:

Dairy
Hogs
Feedlot

Cow Calf
Poultry
Other

Tillage Regime:

Technology:

Convetional Till
Min Till
Zero Till

Internet
GPS
Auto Steer
VRT

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Referral 1 First Name: Last Name: Farm/Business: Box or Street: Town/City: Prov/State: PC/ZIP: Phone: Fax: Email:	Referral 2 First Name: Last Name: Farm/Business: Box or Street: Town/City: Prov/State: PC/ZIP: Phone: Fax: Email:
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The agAdvance™ is a new way to talk about agriculture - to focus on the wins; to focus on the innovations that are always and forever changing the face of our industry.

The agAdvance™

6 - 4630 61st Street
Red Deer, Alberta T4N 2R2

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The agAdvance™