Agsource Harris Laboratory Services

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Please use the following form below to receive supplies in order to implement your testing program. You will receive complimentary soil and tissue bags, water bottles, laboratory input sheets, and return labels. In addition, you can print off an information sheet/laboratory input at Printable Info Sheets.

You can send this via e-mail (noted below) or print a PDF copy, fill it out and fax to (402) 476-0302. Of course, you can always contact us at (402) 476-0300 to request your supplies.

Sample Pickup: Everyday, AgSource Harris has arranged for an authorized return service with UPS. UPS will pick up every day from your trade area. Best of all, the paperwork is completed by AgSource Harris, which makes it easy for you.

* = Required field!

Supply Order Form

9-9-2010

Contact Name: *

Title:

Company Name: *

Address(line 1): *

Address(line 2):

City: *

State: *

Country *

Zip Code/Postcode: *

Phone:

Fax:

Email:

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Soil Supplies

	Qty.	Soil Sample Bags
	Qty.	Soil Information Sheets (to return with samples)
	Qty.	Preprinted Mailing Return Labels
	Qty.	UPS Prepaid Return Labels

Plant Tissue Supplies

	Qty.	Tissue Sample Bags
	Qty.	Tissue Information Sheets (to return with samples)
	Qty.	Preprinted Mailing Return Labels
	Qty.	UPS Prepaid Return Labels

Water testing (irrigation water)

	Qty.	Water testing bottles
	Qty.	Water Information Sheets (to return with samples)
	Qty.	Preprinted Mailing Return Labels
	Qty.	UPS Prepaid Return Labels

Greenhouse "artificial growth media"

	Qty.	Soil Sample Bags
	Qty.	Media Information Sheets (to return with samples)
	Qty.	Preprinted Mailing Return Labels
	Qty.	UPS Prepaid Return Labels

Miscellaneous Supplies

	Qty.	Large Shipping Boxes (holds 20 soil samples)
	Qty.	Small Shipping Boxes (holds 10 soil samples)
	Qty.	Sampling Procedures for Soil
	Qty.	Sampling Procedures for Plant Tissue
	Qty.	Sampling Procedures for Irrigation Water
	Qty.	Soil Importation Labels (necessary for foreign shipments)

I'd like to have an Agsource Harris representative contact me.