Grower Registration

ASOK Grower Registration Form

GROWERS INFORMATION:

Surname (*)

Please type your Organisation Name.

P.O Box(*)

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County(*)

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First Name(*)

Please type your Organisation Name.

Postal Code(*)

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Sub County(*)

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Last Name(*)

Please type your Organisation Name.

Town(*)

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Ward(*)

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ID NO / Passport No:(*)

Please type your Organisation Name.

Mobile(*)

Please type your Organisation Name.

E-mail(*)

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HERE BELOW ARE THE DETAILS OF MY AVOCADO FARMING

Indicate the Number of Trees

Hass Varieties Mature(*)

Please type your Organisation Name.

Hass Trees Young(*)

Please type your Organisation Name.

Fuerte Varieties Mature(*)

Please type your Organisation Name.

Fuerte Trees Young(*)

Please type your Organisation Name.

Local Varieties(*)

Please type your Organisation Name.

Other Crops(*)

Please type your Organisation Name.

3. MEMBERSHIP FEES:

Membership Category(*)

Individual: Annual Fee: Kshs 3,000International: Annual Fee:US $100 Invalid Input

Payment Type(*)

ChequeCashBank TransferMPESA (Till No: 882242) Invalid Input

Proove that you are Human(*)

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