Thank you for participating in the FORTIX Challenge. In order for you to receive your special edition FORTIX baseball cap and be entered in a chance to win one of 5 prize packages containing a new iPad Air and 2.5 gallons of FORTIX, we need to collect the following information. If you prefer to mail this form, you can download a printable version here.

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Grower Details

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Supporting Retailer Details

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Comparison

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Untreated
Other Fungicide: Please List
Yes
No

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Comments

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Your First Name, Last Name, and Email Address are required to complete this form online.

If you do not have an Email Address, you can download a printable version of this form and mail it to us.

 

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