Title Mr Mrs Miss Ms First Name * Surname * Please add Farm Address/Business Address Primary Email Address * Additional email addresses Phone Number (Optional) Mobile Number Additional mobile numbers Would you like to hear from us by email? Yes No Would you like to hear from us by phone? Yes No Would you like to hear from us by text message? Yes No Please confirm farm type: Dairy Yes Number of Milking Cows: Number of heifers: Dairy calving date: All year Block - Spring Block - Autumn Beef Yes Beef enterprise type Suckler Finishing Unit Calf Rearer If sucker herd, please indicate calving date and number of cows Spring Autumn Number For finishing units and calf rearers, please indicate number of animals below Sheep Yes Number of Sheep Lambing Date: Number of Breeding Females Other, please provide more information in the box below By providing your email address and contact number, you accept that the practice will retain your details in accordance with the Data Protection Act and from time to time will contact you to provide further information about our products and services. Privacy Policy. I accept the terms and conditions above * I accept
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