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* 1. Name

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* 3. Phone (optional)

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* 4. What is your day-to-day role? (e.g. Farmer, Land Advisor)

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* 5. Which workshop will you be attending?

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* 6. Please write any dietary requirements you have in the box below

Please tell us a little more about yourself and your farm:

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* 7. Land Tenure

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* 8. Sector

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* 9. Sex

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* 10. Number of years you have been farming for

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* 11. Farm Size (acres)

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