SALES.... SERVICE.... SPARE PARTS.... Cornish's Customer Data/Questionnaire

Please complete all fields

Items marked * are required fields

Date farm visited (dd/mm/yyyy):

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Salesman:

Farm Name/s:

*

Business Name:

Farm Size:

Acres/Hectares

Business Address:

*

Town:

State:

Postcode:

*

Business Activity (wheat, sheep, cattle, cotton etc):

Postal Address:

Town:

State:

Postcode:

OWNER MANAGER

Title (please select) Mr Mrs Miss Master Sir

Last Name:

*

First Name:

*

Phone:

*

Fax:

Mobile:

Email:

*

Spouse/Partner

Title (please select) Mr Mrs Miss Master Sir	Last Name:		First Name:

Phone:

Fax:

Mobile:

Email:

Alternate Contact

Title (please select) Mr Mrs Miss Master Sir

Last Name:

First Name:

Phone:

Fax:

Mobile:

Email:

MAKE	TYPE	MODEL	YEAR & HOURS	CONDITION & COMMENTS	REPLACEMENT DATE

How can we assist you in operating your farm more efficiently?

I would like further information on

Next follow up date:

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1. What do you like about Cornish's?

2. What areas do Cornish's need to improve in?

3. What has your experience\s been when dealing with Cornish's?

4. How would you rate our Service Department? Out of 10, with 10 being the highest. If poor why?

5i. What is preventing you from buying new\used equipment?

5ii. How can we help provide a solution?

6i. Are you aware of our product range? see below

6ii. On which products would you like further details?

7i. Do you have a GPS System? If not, why?

7ii. Would you like a GPS demonstration?

Would you use the following?

Farm Equipment Plan

YES NO

Agronomy Services

YES NO

Hire of Equipment (non-agricultural machinery)

YES NO

Updates over internet

YES NO

Local Demonstration Days

YES NO

Local Farmer Forum Events

YES NO

Other - Details required

YES NO

Please complete if answered yes for other:



Tick the following product/s that you are aware of.

Any other comments:

GUNNEDAH - TAMWORTH - QUIRINDI - GILGANDRA - PARKES - CONDOBOLIN - NARROMINE

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