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Survey Questions

* Indicates required field

Name *

First

Last

Business Name *

First

Last

Email *

Billing Address *

Line 1

Line 2

City

State

Zip Code

Country

Dryer Address *

Line 1

Line 2

City

State

Zip Code

Country

Other people in charge of Dryer *

First

Last

Their Cell Number *

First

Last

What Size of dryer do you have? Age? *

Would you like a preseason check. *

Yes No

Preseason check $275 one fan. Every additional fan $50

Do you have? *

Air System Cross Augers Grain Leg

Would you like to be contacted about any improvements. *

Do you have a Farm Fans dryer to sell us? List the size / Number. Any size any condition. *

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