NAME *

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Last Name

PHONE NUMBER *

Country

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ADDRESS

Address 1

Address 2

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State/Province

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WHAT ENVIRONMENT ARE YOU GROWING IN?

HYDROPONIC

GREENHOUSE

OUTDOOR

GROW TENT

WHAT MEDIUM DO YOU USE FOR YOUR PRODUCTION?

ORGANIC SOIL

LIVING SOIL

COCO

OTHER

WHAT TYPE OF LIGHTING DO YOU USE?

NATURAL SUNLIGHT

LED'S

HIGH PRESSURE SODIUM (HPS)

OTHER

WHAT TYPE OF WATER DO YOU USE?

SPRING WATER

DISTILLED WATER

REVERSE OSMOSIS

LOCAL TAP WATER

OTHER

NAME *

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Last Name

PHONE NUMBER *

Country

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ADDRESS *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

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