Use this form if you intend to purchase any of the products that we have on offer at Back Paddock.
If the product you wish to purchase is not in the list, please add it in as "Other Details" and we will contact you to assist.
Date
Sales Team Member
Client Details
* Contact Full Name
* Contact Email
* Trading Name
* ABN
* Postal Address
* Postcode
* Contact Number
* Agronomist Full Name
(If Applicable)
* New or Upgrade ?
New product registration
Upgrade existing product
For the Agronomist
For the Farmer
* Product Category
* Product Required
Opterra Adviser Professional (incl. SoilMate)
Opterra Adviser
Opterra Nutrition
Opterra Field Adviser
Opterra Scout
Opterra Reef
Opterra Nutrition Assist
Opterra Adviser Assist
Opterra Reef Assist
* Product Required
Opterra Manager Premium
Opterra Manager
Opterra Paddock Book
* Add Livestock?
* Installation type
Yes
No
Hosted
On-Premise
Unsure
* Replace resigned user ?
Yes
No
Unsure
Other Details
Account Details
* Accounts Trading Name
* Accounts Email
* Accounts Phone
* Required Rows