Name *

First Name

Last Name

Phone *

(###)

###

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What Ag sector are you in? *

Row crops

Permanent crops

Vegetables

Livestock

Other

What do you need growth capital for? *

Purchase real estate

Purchase business

Ownership transition

Recapitalize the balance sheet

Vertically integrate and expand

Retire or exit business

What are the annual revenues of your business?

Less than $5 million

Between $5 and 15 million

Between $15 and 30 million

Over $30 million

What is the size of your asset base? *

Less than $20 million

Between $20 and 50 million

Between $50 and 100 million

Over $100 million

How many owners are there? *

One owner

Between 1 and 5

Greater than 5