WESTERN FARM SHOW-ONLINE TICKET REGISTRATION
* Required fields
*First Name:
*Last Name:
*Mailing Address:
*City:
*St:
* Zip:
Phone:
*E-Mail Address:
*E-Mail Address (enter 2nd time to confirm):
Age:
Gender:Male   Female
Promo Code (If applicable):

To receive your ticket voucher for Western Farm Show, please complete the following survey.
Kind of Operation (only check one)

Operate a farm or ranch
Part-time Farmer
Own farm or ranch but rent or lease it out
Retired and still own farm or ranch but rent or lease it out
Work on a farm or ranch
Professional farm manager/consultant
Occupation related to farming
Retired/not active in farming
 
Number of acres crops you planted /farmed in 2008
Total Acres Farmed  
  Acres of Alfalfa
  Acres of Corn
  Acres of Hay
  Acres of Soybeans
  Acres of Wheat
  Acres of Pasture
  Acres of Milo
  Acres of Other
Total acres that you rent  
Total acres that you own  
Do you own Livestock?
Yes   No
Number of Livestock Inventory or Owned

  Beef cows
  Dairy cows
  Horses
  Poultry
  Hogs
  Sheep

Number of Livestock Marketed or Sold Annually

  Beef cows
  Dairy cows
  Horses
  Poultry
  Hogs
  Sheep

Annual gross farming revenue (only check one)
Under $50,000
$50,000-99,999
$100,000-249,999
$250,000-499,999
$500,000-749,999
$750,000 or more
Role in buying (only check one)
Purchasing Authority
Evaluate/Recommend
Identify
No authority
How much are you planning on spending on equipment purchases in 2009? (only check one)
None
Under $10,000
$10,000-24,999
$25,000-49,999
$50,000-99,999
$100,000-199,999
$200,000 or more
Which types of equipment are you most likely to recommend/purchase in 2009? (Check as many as apply)
Air Compressors
All-Terrain (ATVs)/Utility Vehciles
Belting/Conveyors
Buildings/Components/Accessories
Combines/Components/Accessories
Computers/Software
Diesel Equipment
Educational Institution/Services
Electronics
Feed/Feeding Equipment
Fencing/Gates/Panels
Fertilizer/Fertilizer Application Equipment
Financial Services/Investments
Forage Equipment/Hay Equipment
Generators
Grain Handling/Storage Equipment
Heaters/Furnaces
Hydraulic/Pneumatic Equipment
Insurance/Estate Planning
Irrigation/Drainage Equipment
Land Forming
Livestock/Swine Equipment
Loaders
Lubricants/Sealants
Mowers
Outdoor Power Equipment
Planting Equipment
Pressure Washers
Seed Products
Spreaders/Applicators
Tanks
Tarps/Covers/Wrapping
Tillage Tools/Equipment
Tires/Wheels/Repair
Tractors/Components/Accessories
Trailers
Tree Cutting/Trimming Equipment
Truck/Components/Accessories
Welding Equipment
Major reason for attending the show (Check as many as apply)
To see new products
To compare products
Look for a particular product
Talk with company reps
Other
How did you hear about the show?(Check as many as apply)
Exhibitor
Equipment Dealer
High Plains/Midwest Ag Journal
Radio
TV
Direct Mail
www.westernfarmshow.com
other
How often do you attend the Western Farm Show? (only check one)
Every year
Every other year
Occasionally
First year
Distance Traveled? (only check one)
1 to 49 miles
50-99
100-150
150-249
Over 250
How many rode together in the same vehicle?
1   4
2   5
3   6
How many nights will you be spending in a local hotel?
none
1
2
3 or more
Due to fertilizer prices have you considered using a fertilizer efficiency product?
Yes   No
Have you heard of AVAIL?
Yes   No
Have you heard of NutriSphere-N?
Yes   No
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