Seed Order Form - Grand Valley Chapter of Pheasants Forever

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2015 Grand Valley Pheasants Forever Seed Order Form Free Seed
Please return this order form with payment to:
Dan Banister – 616-532-0890
3740 Piute Dr. SW
Grandville, MI 49418
Chapter Funded Food Sources:
# of Bags
Roundup Ready Corn (3.3 acres per bag) ...................................................
2 bag limit
Grain sorghum (5 acres per bag) .................................................................
1 bag limit
Sunflower ......................................................................................................
½ bag limit
Michigan Mix (1 acre per bag) ....................................................................
1 bag limit
Contains corn, sunflower, millet and buckwheat.
Forage sorghum (3 acres per bag) ................................................................
1 bag limit
Name
Address
City/State/Zip
Phone/Email
I am currently a Pheasants Forever Member; a valid PF Membership number is required!
Purchase Additional Seed Order Form
Type of Dated Crop
Seed
A) Corn—RoundupReady
B) Beans--RoundupReady
C) Grain Sorghum
D) Forage Sorghum
Grain Mixes
1) MICHIGAN MIX
2) Dove Kandy
Sunflowers
Dated Wildlife Seed Information
Good Supply, possibly a bit tight. 80K Seed Count Bags (3
acres).
Genetically Modified - Requires a Stewardship Form Signed
by Landowner
Soybeans - Good Availability. Usually 140K Seed Count
Bags (1 acre).
Genetically Modified - Requires a Stewardship Form Signed
by Landowner
Possible Tight Supply from 2012. Usually in 50 lb bags. (7-8
acres).
Usually (but not always) Concep-treated. Not GM Seed.
Limited Availability. Not GM Seed. Usually in 50 lb bags.
If Not Available, We Will Substitute Grain Sorghum (bag for
bag)
Grain-based Food Plot Mixes
Blend of Corn, Sunflower, Buckwheat & Jap Millet mix
provides food & cover for Quail, Pheasants, Doves and more.
Drives doves & all birds wild! Small, black, high oil seeds
attract all wildlife. About 100+ day maturity. Not Clearfield
type. Plants 4-5 acres/25 lb bag.
# of
Bags
Cost per
bag
Total
Cost per
line
$10.50
$
$10.50
$
$10.50
$
$10.50
$
$26.00
$
$29.00
$
Total Due
$
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