Arizona Crop Improvement Association
Affiliated with:
Department of Plant Sciences
College of Agriculture
University of Arizona

 2120 E. Allen Road
Tucson AZ 85719-1522
Phone 520/305-3586
FAX 520/305-3587
Company:___________________________________________________

Person To Contact____________________________________________

Address____________________________________________________

City_________________State______Zip Code____________________

Phone (_____)______________FAX (_____)______________________

FOLLOWING IS OUR 2014 FOUNDATION SEED REQUEST :
--CROPS--
---VARIETY--
POUNDS

REQUESTED
DATE NEEDED
1 - - -
2 - - -
3 - - -
4 - - -
SIGNATURE OF APPLICANT___________________ DATE_____________

Foundation Seed is in limited supply and is sold for the production of Registered or Certified seed only. If requests exceed the supply, allocation will be made. You will be notified when the seed is available for pick-up.