Liquid Fertilizer Customer QuestionnaireOVA_EndeavorInsert.indd 1 11/28/11 3:58 PM. Title:...

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Ohio Valley Ag • 866.561.7772 • www.ohiovalleyag.com • [email protected] Liquid Fertilizer Customer Questionnaire Customer Contact Information End Customer: ____________________________ Customer Contact: _________________________ Address: _________________________________ City, State: ________________________________ Mobile: ___________________________________ E-mail: ___________________________________ Fax: _____________________________________ Product Information Equipment Make:______________________________ Model: ______________________________________ Year: _______________________________________ Number of Rows:______________________________ Row Spacing:_________________________________ Rows Per Section:_____________________________ Min Speed: ___________ Max Speed:_____________ Equipment Information Product Being Applied: ____________________________ Min GPA:: ___________ Max GPA: ________________ Section Valves How Many Electric Section Valves? (Max 6) _____________ Placement Method Existing Placement Method At The Row: Yes No If So, What Kind:_________________________ If Not, What Method Preferred:______________ Capture LFR Equipment Please return this form to Ohio Valley Ag Email: [email protected] Fax: 270.684.4204 - Phone: 866.561.7772 PO Box 21159 Owensboro, KY 42304 FMC Local Sales Rep: ______________________ Customer Agrees to Purchase 50 Gallons Of Capture LFR Over 3 Years : Yes Grower Signature:_______________________________ Comments: ____________________________________ ______________________________________________ OVA_EndeavorInsert.indd 1 11/28/11 3:58 PM

Transcript of Liquid Fertilizer Customer QuestionnaireOVA_EndeavorInsert.indd 1 11/28/11 3:58 PM. Title:...

Page 1: Liquid Fertilizer Customer QuestionnaireOVA_EndeavorInsert.indd 1 11/28/11 3:58 PM. Title: OVA_EndeavorInsert Created Date: 11/28/2011 3:58:09 PM ...

Ohio Valley Ag • 866.561.7772 • www.ohiovalleyag.com • [email protected]

Liquid Fertilizer Customer QuestionnaireCustomer Contact Information

End Customer: ____________________________ Customer Contact: _________________________ Address: _________________________________ City, State: ________________________________ Mobile: ___________________________________ E-mail: ___________________________________ Fax: _____________________________________

Product Information

Equipment Make:______________________________ Model: ______________________________________ Year: _______________________________________ Number of Rows:______________________________ Row Spacing:_________________________________ Rows Per Section:_____________________________ Min Speed: ___________ Max Speed:_____________

Equipment Information

Product Being Applied: ____________________________ Min GPA:: ___________ Max GPA: ________________ Section Valves How Many Electric Section Valves? (Max 6) _____________

Placement Method Existing Placement Method At The Row: Yes No If So, What Kind:_________________________ If Not, What Method Preferred:______________

Capture LFR Equipment

Please return this form to Ohio Valley Ag Email: [email protected]

Fax: 270.684.4204 - Phone: 866.561.7772 PO Box 21159 Owensboro, KY 42304

FMC Local Sales Rep: ______________________ Customer Agrees to Purchase 50 Gallons Of Capture LFR Over 3 Years : Yes Grower Signature:_______________________________ Comments: ____________________________________ ______________________________________________

OVA_EndeavorInsert.indd 1 11/28/11 3:58 PM