Please enter your 4 digit KPIN

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* 1. Please enter your 4 digit KPIN

Please enter the orchard address (this is so we can cross check the KPIN with our records)

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* 2. Please enter the orchard address (this is so we can cross check the KPIN with our records)

Please select the variety or varieties you intend to spray (you may select one or more)

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* 3. Please select the variety or varieties you intend to spray (you may select one or more)

Please list the block(s) you intend to spray

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* 4. Please list the block(s) you intend to spray

Please enter your proposed spray date in the format dd/mm/yyyy (must be within 3 days of today)

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* 5. Please enter your proposed spray date in the format dd/mm/yyyy (must be within 3 days of today)

Please confirm the following:

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* 6. Please confirm the following:

Please confirm that flowers have been minimised in the sward and the method of elimination (select at least 1)

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* 7. Please confirm that flowers have been minimised in the sward and the method of elimination (select at least 1)

Please provide the following contact details:

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* 8. Please provide the following contact details:

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