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Genesis Ag Customer Profile

Please enter the following information to help us serve you better.

Customer Profile Form

Form for producers to enter their customer profile.

Name(Required)
Farm Name(Required)
Address(Required)
Email(Required)
Acreage (Not required, helpful for determining value to cost ratio)
Planter Type(Required)
Planter Type(Required)
Sprayer(Required)
Irrigation(Required)
Fertility management - Liquid(Required)
Fertility management - Dry(Required)
Disease and Insect Management(Required)
Genesis Soil Test(Required)
Program Type (Select One)

Get in touch

Location

400 South Central Ave Humboldt, TN 38343

Contact Us

Phone : 844-455-5511

Email : info@genesis.ag

Our Hours

MON-FRI 9:00 am – 5:00 pm

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844-455-5511

Quick Links

Genesis Info

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