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TerraFerm Partner Network — Partner Application
Contact Information
First Name
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Last Name
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Company / Organization
Email Address
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Mobile Phone Number
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Street Address
Street Address 2
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City
State / Region
Postal Code
Country
Website URL
LinkedIn Profile URL
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About You
Describe your current role or business
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Who is your primary audience or customer base?
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Estimated audience or customer reach
Partnership Intent
Which partner track are you applying for?
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Secondary Partner Track
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How do you reach your customers?
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How do you reach your customers?
Social media
Email list
In-person workshops
Farm/nursery store
Consulting clients
Online courses
Other
How did you hear about TerraFerm?
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Why do you want to join the TerraFerm Microbial Brewing Partner Network?
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Do you have experience with EM, fermented microbial products, or Dr. Higa's work?
Describe your first intended activity as a TerraFerm partner
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Submit