2024 (Private Land) Spongy Moth Aerial Application Inquiry 
Please note this is an inquiry only, this is not a contract for services. Availability and contract for services will be determined from this inquiry. 
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Property Owner Name/Contact name *
Telephone Number *
Email address *
Property Address (Including City, State and Zip) *
Property County *
What is the estimated total acreage to spray?  NO: residential areas, only forested ground with minimum housing. *
 Club, group, organizer name (optional) 
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