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Entrants Last Name *

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Entry Grown In * -- Please Select -- Illinois Indiana Iowa Michigan Minnesota North Dakota South Dakota Wisconsin

Planting Date *

Weight of Harvested Grain (Pounds) *

Harvest Date *

Bushels Per Acre *

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I hereby certify that the statements made on this entry form are accurate to the best of my knowledge, and I hereby release any of this information for publication by Dairyland Seed.

Yes, I give permission