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Anderson Hay Submit Reports

    Grower Field History Report

    Our Grower Report is temporarily down.

    To help in the mean time, we wanted to provide you with the following options:

    A fillable PDF version: Application Record 2015 Form (PDF) or

    An Excel Spread Sheet version:  Application Record 2015 Form (XLS)

    Please contact us with any questions.

    (509) 925-9818 or InventoryTeam@Anderson-Hay.com

    Grower Name:
    Field ID:
    Field #:
    Seed Variety:
    Crop(s) Grown:
    Total Acres Grown:
    Name of
    Chemical(s)
    used:



    Chemical
    Supplier:



    Date(s)
    Applied:



    Name of
    Manu:



    % or
    LBS/GAL. Active Ingred.:



    How Applied
    AIR/GR.:



    Concentrate
    Applied
    Per Acre:



    Type of Chemical: (Herb, Insect, Adj.):
    Form Completion Date:
     
    First Name: *
    Last Name: *
    Contact Phone Number: *
    Verify Phone Number: *
    Before clicking the "Submit" button below please double check all values entered to ensure that no mistakes were made.

    Thank you.