Service Request

Services Required*
Confirmation Email*
Must be your valid work email address
Company*
Name of retail
Point Forward Location *
Crop Management Network Location *
McEwen's Location *
Nutrien Location *
Parrish and Heimbecker Location *
CropMaxx Location *
Synergy Ag Location *
Neerlandia Co-op Location *
Premium Ag Location *
2nd Opinion Location *
Richardson Location *
Wild Rose Co-op Location *
Sturgeon Valley Fertilizers Location *
Veikle Agro Location *
Location*
Sales Person*
Soil Sampling Options

Please note submissions made between Jan 1st and March 31st will be collected in spring as soon as conditions allow.
Composite sampling work orders with fewer than five fields will be added to our queue and completed as routing allows. Because our team prioritizes efficient travel routes, these smaller jobs may take longer to process.
Sample Depths -You must choose 0-6" when choosing a second depth*

0-6"6-12"Other
Analysis Required*

Macro and Micro analysisMacro analysisOther (Please specify in the comment section)
Variable Rate Sampling Method*

All ZonesOther (Please specify in the comments)
Composite Sampling Method*

10 Geo Referenced points1-3 Grower Picked PointsExisting PointsOther (Please specify in comment section)
Shipping method*

AirGround
Lab Account
Sprayer rate control monitor type
Application Rates
Grower Information
Farm Name*
If the grower operates under a farm name enter that here
Contact Name*
Full Name Please
Contact Number*
Navigate to approximate farm center and double click to set the pin.*
Field name
Legal Land Descriptions*
Enter LLDs here. LLD must be entered for new customers in order to process the WO.
Acres
Comments or Special Instructions - For any lab other than A&L please specify in comments.
.
Upload a file (Field Maps etc)

Browse Files

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❏ Grower contacted before starting and after completion?
❏ Vehicle clean and disinfected?
❏ Non-routine issues reported to supervisor?
Date Completed: _____________ Name :_________________
Should be Empty:

Soil Sampling Options

Grower Information