Grower Sheet

* fields are required

Farm Name: *

Contact Name: *

Address:

City:

Phone: *

Email: *

PLEASE COMPLETE THE FOLLOWING FORM TO AID US IN THE PROPER CONDITIONING OF YOUR 2022 HARVESTED CROP

CROP	VARIETY	CONTRACTOR	CERTIFIED UNCERTIFIED REGISTERED	FIELD NUMBERS		NUMBER OF ACRES	FIELD NAME OR LOCATION	COMMENTS ANY PROBLEMS (WEEDS?)
				Cert	Grower