Grower Application Form

Grower Application

"*" indicates required fields

Name*

First Last

Email*

Phone*

Business Name or Farm Name*

Organic Farming*

Yes

Seed Strain

Preferred Seed Strain as available.

Organic Seed Strain

Preferred Seed Strain as available.

Watering Method*

Dry Land

Above Irrigation

Drip Irrigation

Other

Acres to Plant*

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Payment Terms*

At Harvest - Paid earlier of December 31 of year contract is effected or at harvest settlement.

Net 60 Payment Terms $.75 Per Pound

At Harvest Payment Terms $.90 Per Pound

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Estimated Subtotal*

Based on the recommended 8 pounds of seed per acre at $.75 per pound.

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country