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Form - Personal Information
 
 
 
 
 
 
Form - Industry Information
Grower/Farm Manager
Primary Crop(s)
Wheat
Corn
Soybeans
Cotton
Row crops/vegetables
Nursery/Greenhouses
Other
Acreage
Under 500
500 – 1,000
1,000 – 5,000
5,000 +
Fertilizer Manufacturer
Fertilizer or Chemical Trader/Broker
Fertilizer/Chemical Exporter
Fertilizer Dealer
Number of Employees
Under 10
10-50
50-100
100-250
250+
Fertilizer/Chemical Transporter
Type of Transport
Truck
Number of vehicles in fleet
Barge
Tanker (ship)
Rail
Domestic Only
International Only
Both domestic & international
Industrial Manufacturing
Please specify type
Mining
Iron
Precious metals
Coal
Titanium
Other
Utilities
Water
Electric
Diversified
Consultant/Analyst
Explosives/Fireworks
Other Industry
Ammonia
DAP [Diammonium Phosphate]
Phosphate Rock
TSP [Triple Super Phosphate]
10-34-0
Potash:
Coarse Muriate
Granular Muriate
Soluble Muriate
Standard Muriate
Ammonium Nitrate
MAP [Mono-Ammonium Phosphate]
Potassium Nitrate
UAN
16-20-0
Sulfur:
Dry (mt)
Liquid
Recovered
Ammonium Sulfate
Phosphoric Acid
Potassium Sulfate
Urea
CAN-17 [Calcium Ammonium Nitrate]
Other commodities/fertilizers
 
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