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Custom Coated Seed Transmittal
Customer
Date
PO Number
Name
Phone
Email
Raw Seed Information
Species
Variety
Lot Number
Seed Count
Treated
Labeled Germ
Producer
Qty. of Raw Seed
Order Information
Conventional
Film Coat
Gro-Coat
Pre-Prep
Prep-Coat
Prep-Coat Special
Light Density
Medium Density
Medium Density-D
Heavy Density
Treatment
Thiram
ProGro
Trigard
FarMore F-300
FarMore FI-400
FarMore FI-500
FarMore OI-100
NipsIt
Organic
PULSE Gro-Coat
PULSE Pre-Prep
PULSE Prep-Coat
D Pellet (brown)
Other Conventional
Other Treatment
Other Organic
Film/Blaze Color
Belt Size
AirMaxx (encrusted)
Packaging Instructions
No. of Units per Package
Pack in Lbs
SDI Cartons
SDI Pails
Other
Special Labeling Instructions
Item 1
Item 2
Item 3
Shipping Instructions
Request Ship Date
Ship Via
Billing Acct Number
Shipping Address
City
State
Zip
Additional Comments or Instructions
Waive Suitability Testing
Process While in Test
Send