ARDEC - FIELD TASK REQUEST
	Date (required):	Requested By (required):
	Department (required):	Phone Number (required):
	Field Location (required):	Crop Planted:
Irrigation	Type of Irrigation:	Amount of Irrigation:
Tillage	Type of tillage:
Fertility	Formulation:	Fertility Rate:
Herbicide	Formulation:	Herbicide Rate:
Insecticide	Formulation:	Insecticide Rate:
Fungicide	Formulation:	Fungicide Rate:
Comments:
	Since this text box does not automatically wrap the text in the sent e-mail message, it is necessary to enter at the end of each line.