Illinois Crop Improvement Association, Inc. | Forms

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<return to Forms	AOSCA Tag Order Form
*Company
*Location
Name of person placing the order
*Email
Phone number of person placing order
*Year & location grown
Interagency
ICIA test # (if known)	Sheller/unclean clean/graded
ICIA field #
*Crop
*Class
Producer or Conditioner #
*Variety
*Lot #
*Number of tags
*Net weight per bag/container	lbs.
Total weight per tag order
*Seed count	yes no seeds/pound
* Sew on Stick on (if available) one two Tag System
1 tag system lists the purity and germ as well as the variety, lot & producer/based on a clean sample within 1 year
Pure seed
Crop seed
Inert
Weed
Germination
2 tag system lists the variety, lot & producer number/based on unclean sample within 1 year
	*Required Fields If you have questions, please contact: ICIA Tags & Records Attn: Teresa Underwood Phone 217-359-4053 ext 19 Fax 217-359-4075 e-mail: tunderwood@ilcrop.com Revised May 27, 2003