SCHEDULE A TEST
Need an R&D test? Want to get your crop compliance (QCQA) tested?
Email address *
HSGG Farm ID #
Your answer
Farm/Business Name *
Your answer
Licensed Address (Line 1) *
Your answer
Licensed Address (City, State, ZIP) *
Your answer
Contact Name *
Your answer
Phone number
Your answer
License # *
Your answer
License Type *
Your answer
License Expiration Date *
MM
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DD
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YYYY
How would you like to get your sample to the lab? *
Requested Pick-up/Drop-off Date *
MM
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DD
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YYYY
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