AOSCA Tag Form

After filling in the appropriate fields below, print this page for your records before clicking the "submit" button.

If you have not received confirmation within 24 hours, please contact Illinois Crop at 217-359-4053. When calling, please specify the type of request you initiated (Tag Order, Certificate Order, Contact Us).

If you have questions, please contact:

Illinois Crop Improvement Association
Tags & Records
Attn: Diane Campbell
Phone 217-359-4053 ext 22
Fax 217-359-4075
e-mail: dcampbell@ilcrop.com

Name of person placing order
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Email*
Please let us know your email address.
Phone
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Company*
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Location*
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Variety*
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Crop*
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Class*
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Year & location grown:*
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Interagency
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IL Crop Sheller/Unclean Test #
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IL Crop Clean/Graded Test #
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Il Crop Field #
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Producer or conditioner #
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Lot#*
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Number of Tags*
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Net weight per bag/container*
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Total weight of tag order (lbs)*
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Seed Count*
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Seed/Pound (if Yes enter value here)
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Type of Tag*
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Tag System 1 tag system lists the purity and germ as well as the variety, lot & producer/based on a clean sample within 1 year
Pure Seed
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Crop Seed
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Inert
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Weed
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Germination
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Security Code* Security Code
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