The Hemp Mine - Customer Discovery
This form is meant to formally connect The Hemp Mine with potential customer partners.
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Email *
Welcome! We are excited that you have chosen to work with us.
Please fill in the following information so we can properly add you to our system.
Company Name
First Name
Last Name
Job Title
Billing Address (Street, City, St, Zip)
Shipping Address (Street, City, St, Zip)
Phone Number
Preferred Payment Method
Clear selection
Are you a field Hemp Farmer?
Are you a Greenhouse Grower
If a Greenhouse Grower - how many ft2 of production for hemp?
How many acres do you plan to farm in 2020?
What are you concerned about - State THC reg?
Which product are you interested in?
Do you know your desired quantity of product you need? If no, please just say no and if yes please share a quantity.
Which state are you located in (abbreviation)?
Which country are you located in?
Do you have multiple facilities?
Clear selection
How did you hear about us?
What are you producing Hemp for?
Field Days Trials: RSVP
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This form was created inside of The Hemp Mine.