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Farm Service Bundle
International Enrollment Form
Subscription Term
• International subscribers will be charged in $USD
• Subscriptions are set to auto-renew by default
Annually
Contact Information
Name
Farm Name
Address
Phone
Fax
Email
Re-type email
Additional email (if applicable):
Date
03
/
18
/
2025
Method of Payment
• If paying by PayPal (credit card), submit this enrolment form before proceeding to the next step of payment processing.
• If paying by cheque, submit this enrolment form and simply close the next PayPal processing page.
• Cheques made payable to: LeftField Commodity Research (mail to address below).
Cheque
PayPal (Credit Card)
If you have questions or to provide credit card details by phone, call Chuck Penner at (204) 949-1726.
52 Swiss Bay, Winnipeg, MB, R2G 2P3
Payment Method
PayPal
PayPal
Accepted cards
Verification
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