AES-27-05 APPLICATION FOR REGISTRATION OF AGRICULTURAL LIMING MATERIALS

APPLICATION FOR REGISTRATION OF AGRICULTURAL LIMING MATERIALS
USA Plants ID
License Number
Owner/Principal Officer
Phone Number
Enter numbers onlyFormat: (000) 000-0000.
Fax Number
Enter numbers onlyFormat: (000) 000-0000.
Parish
Email
example@example.com
Registration Year
MATERIALS SOLD
Materials Sold (Check all that apply)

Other
Print Name
Signature

Clear
Date

MonthDayYear
By clicking submit, your form will automatically be forwarded to the LDAF Agricultural Chemistry Division. A copy of this form will be emailed to the email address provided above.

If you have any questions, please contact 225-342-5812.
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APPLICATION FOR REGISTRATION OF AGRICULTURAL LIMING MATERIALS