What You Can Do

Submit your soil sample request here.

* Select Order Type *REQUIRED

* Retailer Name *REQUIRED

* Retailer E-Mail Address *REQUIRED

Additional Retailer Email

* Grower Name *REQUIRED

* Grower Contact Phone *REQUIRED

* Grower Address *REQUIRED

* Farm Name *REQUIRED

* County *REQUIRED

* Township *REQUIRED

* Section # *REQUIRED

* Legal Description *REQUIRED

* Previous Crop *REQUIRED

* Year 1 *REQUIRED

* Year 2 *REQUIRED

* Year 3 *REQUIRED

* Year 4 *REQUIRED

* Year 1 *REQUIRED

* Year 2 *REQUIRED

* Year 3 *REQUIRED

* Year 4 *REQUIRED

Nitrogen Target if going to be corn or wheat next year

(in units of "N" in pounds/acre)

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Type of Nitrogen source for N Target

Type of Starter Fertilizer Program

If "Other" is selected, please describe:

Rate (Gallons/pounds per acre)

* Type *REQUIRED

Intensity

Analytic Type

* Total Acres of Field (FSA Estimate) *REQUIRED

* Total Acres to Test *REQUIRED

Ready to Sample *REQUIRED

* Submitted By *REQUIRED

Attach FSA Map and Lab Submittals Here

Maps should be saved as a JPG, PNG, or GIF.

Comments/Special Notes Regarding This Field