Farmer's Signup Sheet
Dear Farmer, thank you for showing interest in Puno. We exist to help and motivate you into commercialization by providing you with the necessary funds to expand and sell your produce to a bigger audience of customers.

Please note that this form is not a disqualifying factor and that we are asking the following questions just to get to know you and see how best we can be of service to you.

If you know any farmers also in need of funding, please feel free to share this questionnaire with them.

To find out more about Puno:
Whatsapp: (+27) 767370121

We will be in contact with you within 24 hours of filling this form in.
Sign in to Google to save your progress. Learn more
Your Full Name and Surname *
Date of Birth *
Your Email address
Phone number(Call) *
Whatsapp number
Have you (or any of the other owners) filed for Bankruptcy?
Clear selection
Do you  (or any of the other owners) have a criminal record?
Clear selection
Are you registered as a formal business in SA?(Not a disqualifying factor) *
Do you have a business account?(Not a disqualifying factor)
Clear selection
What is the Legal name of your Business(This is the name you registered with if you are registered, If not registered, what do you call your farm?)
Operations address
List the names of the owners of the farm and the percentage they each own: *
How many people do you currently employ at the farm?(Excluding yourself) *
Type of Agriculture
Clear selection
In your own words, what do you do?
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy