Farm Name * Farm Contact Person * Mobile Number * ID/Passport Number * Email Address * Physical Address * County * Sub-county Ward Main Crops *
Crop1
Crop2
crop3
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Membership Category (Tick where applicable) *
Large Scale Farmer (above 500 acres) KES 25,000Medium Scale Farmer (above 50-499 acres) KES 15,000Small Scale Farmer (49 acres and below) KES 5,000
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What is your Preferred Payment Method? (tick where applicable) *
ChequeBank TransferMpesa
How would you like to be Contacted? *
Via PhoneVia Email
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