2025 NC OVT Malting Barley Entry Form

2025 NC OVT Malting Barley Entry Form
Company Name *
Brand Name *
Contact Information*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How many varieties are you entering with this form?*
Enter a whole number

Record all entries to the NC OVT here. In column four enter the name of the commercial seed treatment used.

	Variety	# of Rows	Prior ID Number	Seed Treatment
1
2
3
4
5
6
7
8
9
10
11
12
13
14

Seed Quantities:
- Malting Barley: 20 pounds
Please Ship Seed by September 23rd to:

Ryan Heiniger

3709 Hillsborough Street

Raleigh NC 27607

CELL (919) 389-8860
Should be Empty: