CROP INSURANCE

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Name:

Address:

City, State, Zip

Telephone:

Fax:

Best Time To Call:

Email:

County


State

Crop:



*Grapes & Asian Pears are provided by Written Agreement


Do you have any production records?


Yes       No
(If you have kept separate production records on each of your farms, you can insure each farm separately.)

Production Records

(most recent 5 years of records)

Year

Total Production

Acres

Avg. Yield
Per Acre


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