Email of United Ag Representative (Who Submitted Form)
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Name of Strategic Alliance Partner (SAP)
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Farm Information
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Field Information
Field Location kml
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Irrigation System Information
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RPM Touch Screen 14"
Valley Base Station3
Valley Pro2
Valley Select2
Valley TouchPro
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Zimmatic FieldNET
Zimmatic FieldNET Pivot Control
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Crop Information
Crop
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Alfalfa
Asparagus
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Alpine Russet
Alturas Russet
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Bintji
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Services
EC Mapping
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Variable Rate Irrigation
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Pivot Evaluation
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Soil Moisture Monitoring
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Weather Station
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Name of Strategic Alliance Partner (SAP)
SAP E-mail
SAP Phone
SAP Preferred Communication (mark all that apply)
Phone
Text
Email
Other
SAP Communication Frequency
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Weekly
Biweekly
Monthly
Bimonthly
SAP Notes:
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Farm Information
Farm Name
Farm Manager
Phone
E-mail
Preferred Communication (mark all that apply)
Phone
Text
Email
Other
Communication Frequency
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Weekly
Biweekly
Monthly
Bimonthly
Farm Notes:
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Field Information
Field Location kml
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of
Acres
Field Notes
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Irrigation System Information
Irrigation Type
Please Select
Center Pivot
Drip, Surface
Drip, Subsurface
Dryland
Flood
Furrows
Hand Lines/ sprinklers
Linear/ Lateral
Wheel Lines
Other
Other Irrigation Type
Make
Please Select
Gifford Hill
Lockwood
Mel Brown
Olson
Pierce
Pringle
Raincat
Reinke
T-L
Tumac
Valley
Zimmatic
Other
Other Make
Model
Controller
Please Select
Agsense Field Commander
Agsense Pivot Point
Agsense T-L Precision Link
Field Wise
RPM Basic
RPM Standard
RPM Advanced
RPM Touch Screen 13"
RPM Touch Screen 14"
Valley Base Station3
Valley Pro2
Valley Select2
Valley TouchPro
Valley Classic Plus
Valley Classic
Valley Tracker LT
Valley Tracker SP
Zimmatic FieldNET
Zimmatic FieldNET Pivot Control
Zimmatic Basic panel
Zimmatic Vision panel
Zimmatic Boss panel
Other
Other Controller
Controller Serial #
Irrigation Notes
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Crop Information
Crop
Please Select
Alfalfa
Asparagus
Beans, Dry
Beans
Corn
Grape
Mint
Onions
Potatoes
Peas
Rapeseed (Canola)
Sugar Beets
Cantaloupe
Watermelon
Barley
Wheat
Oats
Sorghum
Summer Squash
Winter Squash
Apple
Cherry
Peach
Plum
Other
Corn Variety
Please Select
Beck
Channel
Croplan
Dekalb
Enogen Hybrids
Fontanelle
LG Seeds
NK
Pioneer
Wyckoff
Other
Potato Variety
Please Select
Alpine Russet
Alturas Russet
Bannock Russet
Bintji
Blazer Russet
Cal Red
Classic Russet
Ida Rose
Norland
Ranger Russet
Russet Burbank
Russet Norkotah
Yukon Gem
Yukon Gold
Other
Onion Variety
Please Select
Red Onions
Sweet Onions
White Onions
Yellow Onions
Other
Mint Variety
Please Select
Peppermint
Spearmint
Other
Other Crop
Other Variety
Variety Number
Planting Date
Estimated Maturity Date
Crop Notes
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Services
EC Mapping
EC Mapping- Order Status
Please Select
Firm Order
Verbal Interest
Not Interested
Map Corners?
Please Select
Yes
No
EC Mapping- Work Status
Please Select
Work Complete
Work in Progress
Not Started
EC Mapping- Invoicing Status
Please Select
Invoice Complete
Ready to Invoice
Work in Progress
No Charge
EC- Notes
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Variable Rate Irrigation
VRI- Order Status
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Verbal Interest
Not Interested
VRI- Work Status
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Work Complete
Work in Progress
Not Started
VRI- Invoicing Status
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Invoice Complete
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Work in Progress
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VRI- Notes
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Pivot Evaluation
Pivot Evaluation- Order Status
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Firm Order
Verbal Interest
Not Interested
Pivot Evaluation- Work Status
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Work Complete
Work in Progress
Not Started
Pivot Evaluation- Invoicing Status
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Invoice Complete
Ready to Invoice
Work in Progress
No Charge
Pivot Evaluation- Notes
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Soil Moisture Monitoring
Soil Moisture Monitoring- Order Status
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Firm Order
Verbal Interest
Not Interested
Soil Moisture Monitoring- Work Status
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Work Complete
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Not Started
Soil Moisture Monitoring- Probe ID
Soil Moisture Monitoring- Probe Telemetry ID
Soil Moisture Monitoring- Probe Location kml
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Soil Moisture Monitoring- Invoicing Status
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Soil Moisture Monitoring- Notes
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Aerial Imagery
Aerial Imagery- Images Wanted
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Standard Color
CIR
CIR + Standard Color
CIR + Geo Tiff
CIR + NDVI
CIR + Thermal
Aerial Imagery- Work Status
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Work Complete
Work in Progress
Not Started
Aerial Imagery- Invoicing Status
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Invoice Complete
Ready to Invoice
Work in Progress
No Charge
Aerial Imagery- Notes
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Weather Station
Weather Station- Order Status
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Firm Order
Verbal Interest
Not Interested
Weather Station- Work Status
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Work Complete
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Not Started
Weather Station ID
Weather Station Location kml
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