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Potential Client Details
Person
:
Project Name
:
Tel No.
:
Fax No.
:
Email
:
Brief Description of the Project
Business or Organization structure
PTY LTD
CC
TRUST
NGO
Other
If other, please specify
Ownership of the farm
Private Lease
Municipal Land
Communal Land
Private Farm
Other
If other, please specify
Farm Conditions
Arable Land
Grazing Land
Farming Land
Bush
Other
If other, please specify
No. of Hectors and Ownership
Less than 25 h/a
25 - 50 h/a
50 - 75 h/a
75 - 100 h/a
Other
If other, please specify
Water Supply
Borehole
Dam
River
All Three
Other
If other, please specify
Is there any Electricity Supply available on the farm?
Yes
No
Client's Questions
Staff Comments / Remarks
Staff Member Name
:
CEO Name
:
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