Dealer Application

First Name(Required)

Last Name(Required)

ZIP Code(Required)

Email(Required)

Phone(Required)

How many acres is your farm?(Required)

What is your current job title?(Required)

What is your background in agriculture?(Required)

Where did you hear about Agritec International?(Required)

How many years have you been working in Agriculture?(Required)

Have you used AgriTec products before? If so, what products have you used?

Will you be able to set up a meeting with 10+ other farmers?(Required)

Are you willing to participate in a weekly call with your area representative about AgriTec products?(Required)

Are you willing to maintain a minimum of $120,000 worth of sales per year?(Required)

Can you read and understand a soil test?(Required)

Resume Upload(Required)

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