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Seed Selector Tools
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Replant Request
Sales Account Manager
(Required)
Choose SAM Name
Matt Metzger
Bryan Boyle
Josh Lingenfelter
Justin Fruechte
Cole Baloun
Direct Sales
Dealership Name
(Required)
Grower Name
(Required)
Customer Number
(Required)
Unique identifier for account. Example: ELEVATEAGRONOMI for Elevate Agronomics
Variety Planted
(Required)
Date Planted
(Required)
Month
Day
Year
Lot Number
Total Acres of Replant Requested
(Required)
Reason for Replant
(Required)
Flood/Excess Moisture
Drought
Hail
Late Freeze
Chemical Carryover
User Error
Other (put explanation in Additional Notes section)
Additional Notes
Upload Photo of Field
(Required)
Max. file size: 1 MB.
Upload Additional Photo of Field
Max. file size: 1 MB.
Upload Additional Photo of Field
Max. file size: 1 MB.
Upload Additional Photo of Field
Max. file size: 1 MB.
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