Plant Marvel Detailed Reply Form

	aLaboratories Inc. a371 East 16th Street AChicago Heights, IL 60411 aPhone 708-757-7500 Fax 708-757-5224
Manufacturer of water soluble fertilizers and horticultural products since 1922.
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Detailed Reply Form

To better serve you and target our response to your specific needs,
please take a moment to answer the following questions:

Nursery Area:

Company:
Address: City: State: Zip:
Website:
Name: Phone: Fax:
Email:
Plant Marvel Distributor: (if known)

Crops Grown (check all that apply)

Annuals
Perennials
Foliage
Nursery Stock (Potted) (Field)
	Vegetables (Ghse) (Field)
Propogated Material Plugs Flowering Potted Crops
Fall Mums Orchids Hydroponic Vegetables
Other Specify

General Information

Wholesale Grower Only Retail Grower Only Retail & Wholesale Grower
Business Category (check all that apply)
Greenhouse Nursery Farm Landscape
Garden Center Golf Course Hydroseeding Hydroponic
Other (specify)
Greenhouse Area:
<20,000 sq. ft. 20-40,000 sq. ft. 40-100,000 sq. ft. >100,000 sq. ft.
<10 acres 10-50 acres 50-100 acres >100 acres
Where do you buy your fertilizer? (check all that apply)
Greenhouse Supplier Nursery/Landscape Supplier Farm Supplier
Garden Center Supplier

Water Source

Well Pond/Lake River Municipal Not Sure
Is water chlorinated? Yes No Not Sure
Do you use more than one water source? Yes No
Has your water ever been tested? Yes No
Within the past year Yes No
If so please list in either ppm or meq
Calcium Magnesium Sodium Potassium
Sulfate Phosphate Chloride Carbonates
Bicarbonates NO3-N pH EC NH4-N
Total Alk F Aluminum Boron Copper
Iron Manganese Molybdenum Zinc

Soil/Media

Peat Based: Commercial Bagged Mix Self-mixed
Bark Based: Commercial Bagged Mix Self-mixed
Nursery or Bulk Mixed Hydroponic System
Does your mix include real (field soil)? Yes :No
Do you incorporate slow release fertilizer (Osmocote, Nutricote, etc.) into your mix? Yes No

Fertilizer Injection System

In-Line Injection Portable Injection Combination In-Line & Portable
Hozon (Siphon) Tank Mix or No Injector

Acid Injection

Do you inject acid into water line: Regularly Occasionally Never Considering
Type: Sulfuric Nitric Citric

Fertilizer Formulas Used (please list)




Fertilizer Program

All Liquid Feed Liquid Feed & Slow Release All Slow Release
Constant Feed Intermittent Feed
PPM Used Each Feeding (normal program) <100 100-200 200-300 >300
Current Program Successful Needs Improvement

Problems Experienced

Burning of Leaves or Roots Yellowing of Upper Leaves Stunting of Plants Absence of Flowers
Purple Color of Lower Leaves Distortion of Young Leaves Plant Stretch or Soft Growth
Marginal Burn of Lower Leaves Yellowing of Lower Leaves
Other Problems: (describe)

Follow-Up

I am interested in: (check all that apply)
Water Test Soil/Media Test Tissue (Leaf) Test Fertilizer Recommendations
Acid Injection Recommendations More Info on Plant Marvel Products
Please Have a Salesperson Contact Me

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