AOSCA Refuge in a Bag

After filling in the appropriate fields below, print this page for your records before clicking the "submit" button.

If you have not received confirmation within 24 hours, please contact Illinois Crop at 217-359-4053. When calling, please specify the type of request you initiated (Tag Order, Certificate Order, Contact Us).

If you have questions, please contact:

Illinois Crop Improvement Association
Tags & Records
Attn: Diane Campbell
Phone 217-359-4053
Fax 217-359-4075
e-mail: dcampbell@ilcrop.com

Name of person placing order	Invalid Input
Email*	Please let us know your email address.
Phone	Invalid Input
Company*	Invalid Input
Location*	Invalid Input
RIB Variety*	Invalid Input
Primary Variety*	Invalid Input
Secondary Variety*	Invalid Input
Crop*	Invalid Input
Class*	Invalid Input
Primary Variety Year & Location Grown:*	Invalid Input
Secondary Variety Year & Location Grown:*	Invalid Input
Interagency	Invalid Input
Primary Variety Sheller Test #	Invalid Input
Secondary Variety Sheller Test #	Invalid Input
Producer or conditioner #	Invalid Input
Lot#*	Invalid Input
Number of Tags*	Invalid Input
Net weight per bag/container*	Invalid Input
Total weight of tag order (lbs)*	Invalid Input
Seed Count*	YesNo Invalid Input
Seed/Pound (if Yes enter value here)	Invalid Input
Tag Type*	OneTwo Invalid Input
	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	Invalid Input
Crop Seed	Invalid Input
Inert	Invalid Input
Weed	Invalid Input
Germination	Invalid Input
Security Code*	Refresh Invalid Input