T100 DEMO REGISTRATION FORM

Full Name:

Company / Farm Name:

Phone

Email Address

City

Province/State:

Primary Crop(s):

Approximate Farm Size:

own currently If

I would like to:

If the currently scheduled demonstration dates are not suitable, please let us know your preferred timing:

Preferred Date(s):

Preferred Time:

If you would like a demonstration at a specific location, please provide details below:

How do you currently apply crop protection products?

If other, please specify:

Do you currently own an agricultural drone?

If Yes, please specify

I would like to learn more about:

If other, please specify.

Additional Comments

Consent

I consent to being contacted by Wonderfull DJI Agricultural Drones Canada regarding demonstrations, products, training programs, and related services.

Name

First

Last

Date