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* 1. Please enter your 4 digit KPIN

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

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

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

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

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* 6. Please confirm the following:

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

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* 8. Please provide the following contact details:

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